{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T03:34:27Z","timestamp":1789702467536,"version":"4.0.1"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T00:00:00Z","timestamp":1762041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T00:00:00Z","timestamp":1762041600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urol Nephrol"],"DOI":"10.1007\/s11255-025-04886-4","type":"journal-article","created":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T11:26:02Z","timestamp":1762082762000},"page":"1711-1717","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Intrarenal pressure during the flexible and navigable suction ureteral access sheath-assisted retrograde intrarenal surgery: a two-center study"],"prefix":"10.1007","volume":"58","author":[{"given":"Sotaro","family":"Kayano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takafumi","family":"Yanagisawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Shibata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eriko","family":"Nishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Yata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiichiro","family":"Miyajima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Fujisawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuka","family":"Yasuda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigetoshi","family":"Maiya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuo","family":"Shinozaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffi Kar Kei","family":"Yuen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuya","family":"Simomura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Kimura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,2]]},"reference":[{"key":"4886_CR1","unstructured":"EAU Guidelines on Urolithiasis\u2014Uroweb. https:\/\/uroweb.org\/guidelines\/urolithiasis. Accessed 12 May 2025"},{"key":"4886_CR2","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2024.05.010","author":"V Gauhar","year":"2024","unstructured":"Gauhar V, Traxer O, Castellani D, Sietz C, Chew BH, Fong KY, Hamri SB, G\u00f6kce MI, Gadzhiev N, Galosi AB, Yuen SKK, El Hajj A, Ko R, Zawadzki M, Sridharan V, Lakmichi MA, Corrales M, Malkhasyan V, Ragoori D, Soebhali B, Tan K, Chai CA, Tursunkulov AN, Tanidir Y, Persaud S, Elshazly M, Kamal W, Tefik T, Shrestha A, Tiong HC, Somani BK (2024) Could use of a flexible and navigable suction ureteral access sheath be a potential game-changer in retrograde intrarenal surgery? Outcomes at 30 days from a large, prospective, multicenter, real-world study by the European Association of Urology Urolithiasis Section. Eur Urol Focus. https:\/\/doi.org\/10.1016\/j.euf.2024.05.010","journal-title":"Eur Urol Focus"},{"key":"4886_CR3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/S00345-025-05520-9","volume":"43","author":"L Cacciatore","year":"2025","unstructured":"Cacciatore L, Minore A, Bonanno L, Contessa P, Esperto F, Iannello AR, Papalia R (2025) Is flexible navigable suction ureteral access sheath (FANS) safer and more efficient than conventional sheaths? Italian multicentric experience. World J Urol 43:1\u20137. https:\/\/doi.org\/10.1007\/S00345-025-05520-9","journal-title":"World J Urol"},{"key":"4886_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/S00345-025-05477-9\/TABLES\/3","volume":"43","author":"V Gauhar","year":"2025","unstructured":"Gauhar V, Somani B, Castellani D, Fong KY, Gadzhiev N, Persaud S, Bin HS, Chai CA, Tursunkulov A, Tanidir Y, Soebhali B, Shrestha A, Ragoori D, Elshazly M, Gokce MI, Malkhasyan V, Farahat Y, Herrmann T, Traxer O, Yuen SKK (2025) The utility of flexible and navigable suction access sheath (FANS) in patients undergoing same session flexible ureteroscopy for bilateral renal calculi: a global prospective multicenter analysis by EAU endourology. World J Urol 43:1\u20139. https:\/\/doi.org\/10.1007\/S00345-025-05477-9\/TABLES\/3","journal-title":"World J Urol"},{"key":"4886_CR5","doi-asserted-by":"publisher","first-page":"1501464","DOI":"10.3389\/FMED.2024.1501464\/BIBTEX","volume":"11","author":"J Bai","year":"2024","unstructured":"Bai J, Shangguan T, Zou G, Liu L, Xue X, Lin J, Ye Y, Ruan X, Li Y, Yang S, Chi Y, Nian Y, Chen X, Liu R, Cai W, Zhu S, Chen J (2024) Efficacy and intrarenal pressure analysis of flexible and navigable suction ureteral access sheaths with flexible ureteroscopy in modified surgical positions for 2\u20136 cm upper urinary tract stones: a multicenter retrospective study. Front Med 11:1501464. https:\/\/doi.org\/10.3389\/FMED.2024.1501464\/BIBTEX","journal-title":"Front Med"},{"key":"4886_CR6","doi-asserted-by":"publisher","DOI":"10.3390\/JCM13102758","volume":"13","author":"F Prata","year":"2024","unstructured":"Prata F, Cacciatore L, Salerno A, Tedesco F, Ragusa A, Basile S, Iannuzzi A, Testa A, Raso G, D\u2019Addurno G, Fantozzi M, Ricci M, Minore A, Civitella A, Scarpa RM, Papalia R (2024) Urinary tract infection predictors in patients undergoing retrograde intrarenal surgery for renal stones: does the instrument make the difference? J Clin Med 13:2758. https:\/\/doi.org\/10.3390\/JCM13102758","journal-title":"J Clin Med"},{"key":"4886_CR7","doi-asserted-by":"publisher","first-page":"2675","DOI":"10.1007\/S00345-022-04154-5","volume":"40","author":"MS Lee","year":"2022","unstructured":"Lee MS, Connors BA, Agarwal DK, Assmus MA, Williams JC, Large T, Krambeck AE (2022) Determining the threshold of acute renal parenchymal damage for intrarenal pressure during flexible ureteroscopy using an in vivo pig model. World J Urol 40:2675\u20132681. https:\/\/doi.org\/10.1007\/S00345-022-04154-5","journal-title":"World J Urol"},{"key":"4886_CR8","doi-asserted-by":"publisher","first-page":"1389","DOI":"10.3892\/ETM.2013.1023","volume":"5","author":"J Wang","year":"2013","unstructured":"Wang J, Zhou DQ, He M, Li WG, Pang X, Yu XX, Jiang B (2013) Effects of renal pelvic high-pressure perfusion on nephrons in a porcine pyonephrosis model. Exp Ther Med 5:1389. https:\/\/doi.org\/10.3892\/ETM.2013.1023","journal-title":"Exp Ther Med"},{"key":"4886_CR9","doi-asserted-by":"publisher","DOI":"10.1007\/s00240-011-0425-3","author":"K Venborg Pedersen","year":"2012","unstructured":"Venborg Pedersen K, Liao D, Sloth Osther S, Mohr Drewes A, Gregersen H, J\u00f6rn Sloth Osther P (2012) Distension of the renal pelvis in kidney stone patients: sensory and biomechanical responses. Urol Res. https:\/\/doi.org\/10.1007\/s00240-011-0425-3","journal-title":"Urol Res"},{"key":"4886_CR10","doi-asserted-by":"publisher","first-page":"1200","DOI":"10.1089\/END.2022.0841","volume":"37","author":"BH Chew","year":"2023","unstructured":"Chew BH, Shalabi N, Herout R, Reicherz A, Victor KFW, Searles K, Bhojani N (2023) Intrarenal pressure measured using a novel flexible ureteroscope with pressure sensing capabilities: a study of the effects of ureteral access sheath, irrigation, and working channel accessories. J Endourol 37:1200\u20131208. https:\/\/doi.org\/10.1089\/END.2022.0841","journal-title":"J Endourol"},{"key":"4886_CR11","doi-asserted-by":"publisher","first-page":"678","DOI":"10.1111\/bju.16173","volume":"132","author":"N Bhojani","year":"2023","unstructured":"Bhojani N, Koo KC, Bensaadi K, Halawani A, Wong VKF, Chew BH (2023) Retrospective first-in-human use of the LithoVue\u2122 elite ureteroscope to measure intrarenal pressure. BJU Int 132:678\u2013685. https:\/\/doi.org\/10.1111\/bju.16173","journal-title":"BJU Int"},{"key":"4886_CR12","doi-asserted-by":"publisher","DOI":"10.1007\/S11255-025-04430-4","author":"S Kayano","year":"2025","unstructured":"Kayano S, Yanagisawa T, Tomomasa N, Yata Y, Nishi E, Kawano S, Miyajima K, Kar S, Yuen K, Kimura T, Tomomasa N (2025) Impact of ureteral access sheath size on intrarenal pressure evaluated by LithoVueTM elite single use ureteroscope. Int Urol Nephrol. https:\/\/doi.org\/10.1007\/S11255-025-04430-4","journal-title":"Int Urol Nephrol"},{"key":"4886_CR13","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1016\/J.UROLOGY.2010.12.026","volume":"78","author":"K Thomas","year":"2011","unstructured":"Thomas K, Smith NC, Hegarty N, Glass JM (2011) The guy\u2019s stone score\u2013grading the complexity of percutaneous nephrolithotomy procedures. Urology 78:277\u2013281. https:\/\/doi.org\/10.1016\/J.UROLOGY.2010.12.026","journal-title":"Urology"},{"key":"4886_CR14","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1111\/BJU.16169","volume":"132","author":"SM Croghan","year":"2023","unstructured":"Croghan SM, Cunnane EM, O\u2019Meara S, Muheilan M, Cunnane CV, Patterson K, Skolarikos A, Somani B, Jack GS, Forde JC, O\u2019Brien FJ, Walsh MT, Manecksha RP, McGuire BB, Davis NF (2023) In vivo ureteroscopic intrarenal pressures and clinical outcomes: a multi-institutional analysis of 120 consecutive patients. BJU Int 132:531\u2013540. https:\/\/doi.org\/10.1111\/BJU.16169","journal-title":"BJU Int"},{"key":"4886_CR15","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1111\/BJU.16539","volume":"135","author":"D Hinojosa-Gonzalez","year":"2025","unstructured":"Hinojosa-Gonzalez D, Kottooran C, Saunders J, Chaussee EL, Budrewicz J, Eisner BH (2025) Relationship between renal pelvis pressure and post-ureteroscopy infection in a live swine model. BJU Int 135:279\u2013285. https:\/\/doi.org\/10.1111\/BJU.16539","journal-title":"BJU Int"},{"key":"4886_CR16","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1016\/j.urology.2023.08.011","volume":"181","author":"BH Chew","year":"2023","unstructured":"Chew BH, Jung HU, Emiliani E, Miller LE, Miller AL, Bhojani N (2023) Complication risk of endourological procedures: the role of Intrarenal pressure. Urology 181:45\u201347. https:\/\/doi.org\/10.1016\/j.urology.2023.08.011","journal-title":"Urology"},{"key":"4886_CR17","doi-asserted-by":"publisher","DOI":"10.1007\/S00345-025-05444-4\/TABLES\/2","volume":"43","author":"KW Chen","year":"2025","unstructured":"Chen KW, Koo KC, Zhong T, Ren R, Wong VK, Almousa S, Levitt M, Guennoun A, Chew BH, Bhojani N (2025) Real time monitoring of intrarenal pressures while using the flexible and navigable suction ureteral access sheath. World J Urol 43:76. https:\/\/doi.org\/10.1007\/S00345-025-05444-4\/TABLES\/2","journal-title":"World J Urol"},{"key":"4886_CR18","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/J.JURO.2007.03.033","volume":"178","author":"S Holm\u00e4ng","year":"2007","unstructured":"Holm\u00e4ng S, Lele SM, Johansson SL (2007) Squamous cell carcinoma of the Renal pelvis and Ureter: incidence, symptoms, treatment and outcome. J Urol 178:51\u201356. https:\/\/doi.org\/10.1016\/J.JURO.2007.03.033","journal-title":"J Urol"},{"key":"4886_CR19","doi-asserted-by":"publisher","first-page":"1143","DOI":"10.1089\/END.2022.0004","volume":"36","author":"Y Chen","year":"2022","unstructured":"Chen Y, Li C, Gao L, Lin L, Zheng L, Ke L, Chen J, Kuang R (2022) Novel flexible vacuum-assisted ureteral access sheath can actively control intrarenal pressure and obtain a complete stone-free status. J Endourol 36:1143\u20131148. https:\/\/doi.org\/10.1089\/END.2022.0004","journal-title":"J Endourol"},{"key":"4886_CR20","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1089\/end.2018.0774","volume":"33","author":"L Fang","year":"2019","unstructured":"Fang L, Xie G, Zheng Z, Liu W, Zhu J, Huang T, Lu Y, Cheng Y (2019) The effect of ratio of endoscope-sheath diameter on intrapelvic pressure during flexible ureteroscopic lasertripsy. J Endourol 33:132\u2013139. https:\/\/doi.org\/10.1089\/end.2018.0774","journal-title":"J Endourol"},{"key":"4886_CR21","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1007\/s00345-024-04815-7","volume":"42","author":"J Shi","year":"2024","unstructured":"Shi J, Huang T, Song B, Liu W, Cheng Y, Fang L (2024) The optimal ratio of endoscope-sheath diameter with negative-pressure ureteral access sheath: an in vitro research. World J Urol 42:122. https:\/\/doi.org\/10.1007\/s00345-024-04815-7","journal-title":"World J Urol"}],"container-title":["International Urology and Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11255-025-04886-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11255-025-04886-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11255-025-04886-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T13:42:21Z","timestamp":1777297341000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11255-025-04886-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,2]]},"references-count":21,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5]]}},"alternative-id":["4886"],"URL":"https:\/\/doi.org\/10.1007\/s11255-025-04886-4","relation":{},"ISSN":["1573-2584"],"issn-type":[{"value":"1573-2584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,2]]},"assertion":[{"value":"6 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Takahiro Kimura is a paid consultant\/advisor of Astellas, Bayer, Janssen and Sanofi. The other authors declare no conflicts of interest associated with this manuscript.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by the Ethics Committee of Ota Memorial Hospital (IRB approval number: OR 25009), which served as the central review board for both participating institutions, including IMS FUJIMI General Hospital. All procedures involving human participants were conducted in accordance with the ethical standards of the institutional review boards and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Written informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent statement"}}]}}