{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:58:28Z","timestamp":1790405908069,"version":"4.1.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the safety, feasibility, and outcomes of ureteroscopic (URS) lithotripsy for distal ureteral stones under patient-controlled sedation (PCS) in a large single-center cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective observational study included 414 patients who underwent 429 URS lithotripsies under intravenous PCS with propofol and alfentanil between 2017 and 2023. Pre-, peri-, and postoperative variables were assessed, and outcomes were analyzed according to stone-free status using graded definitions. Grade A indicated complete stone-free status with no residual stones on postoperative CT, Grade B included Grade A with residual fragments \u22642 mm, and Grade C included Grades A and B with residual fragments measuring 2.1\u20134 mm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The overall absolute stone-free rate was 95% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 406; Grade A); when relative stone-free definitions were applied, the rates were 95% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 408; Grade B) and 97% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 414; Grade C). The rate of complications (Clavien\u2013Dindo \u2265III) was 1%, and no adverse events occurred. The procedure was aborted in 1% of cases, and 99% of procedures were completed on an outpatient basis without anesthesiology support. Non-stone-free patients (5%) more frequently had multiple or larger stones and a history of stone disease, although no associations were identified with sedation volume or surgeon experience.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>URS lithotripsy under PCS is safe and effective for distal ureteral stones, with a high stone-free rate and low complication rate, and may offer practical advantages in clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790261450701","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:04:58Z","timestamp":1790402698000},"page":"990-996","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Procedure, Safety, and Outcomes of Patient-Controlled Sedation in Ureteroscopic Lithotripsy: A 7-Year Cohort Study"],"prefix":"10.1177","volume":"40","author":[{"given":"Johannes","family":"Edstr\u00f6m","sequence":"first","affiliation":[{"name":"Clinical Department of Urology in \u00d6sterg\u00f6tland, Region \u00d6sterg\u00f6tland, Link\u00f6ping, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"Karlsson","sequence":"additional","affiliation":[{"name":"Department of Health, Medicine and Caring Sciences, Link\u00f6ping University, Link\u00f6ping, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Styrke","sequence":"additional","affiliation":[{"name":"Department of Diagnostics and Intervention, Urology and Andrology, Ume\u00e5 University, Ume\u00e5, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firas","family":"Aljabery","sequence":"additional","affiliation":[{"name":"Clinical Department of Urology in \u00d6sterg\u00f6tland, Region \u00d6sterg\u00f6tland, Link\u00f6ping, Sweden."},{"name":"Department of Biomedical and Clinical Sciences, Link\u00f6ping University, Link\u00f6ping, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liselott","family":"Fornander","sequence":"additional","affiliation":[{"name":"Clinical Department of Anaesthesiology and Intensive Care in Norrk\u00f6ping, Region \u00d6sterg\u00f6tland, Norrk\u00f6ping, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magnus","family":"Wagenius","sequence":"additional","affiliation":[{"name":"Division of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden."},{"name":"Department of Urology, Helsingborg Hospital, Helsingborg, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomas","family":"Thiel","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcin","family":"Popiolek","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine and Health, \u00d6rebro University, \u00d6rebro, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3706-2294","authenticated-orcid":false,"given":"Martin","family":"Holmbom","sequence":"additional","affiliation":[{"name":"Clinical Department of Urology in \u00d6sterg\u00f6tland, Region \u00d6sterg\u00f6tland, Link\u00f6ping, Sweden."},{"name":"Department of Biomedical and Clinical Sciences, Link\u00f6ping University, Link\u00f6ping, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65654-4"},{"key":"e_1_3_4_3_1","unstructured":"2.Skolarikos A Jung H Neisius A et al. (2025. EAU Guidelines on Urolithiasis. EAU Guidelines. European Association of Urology. ISBN [om tillg\u00e4nglig]. Available from: https:\/\/d56bochluxqnz.cloudfront.net\/documents\/full-guideline\/EAU-Guidelines-on-Urolithiasis-2025.pdf"},{"issue":"2","key":"e_1_3_4_4_1","first-page":"1780","article-title":"A comparison of extracorporeal shock wave lithotripsy and ureteroscopy under intravenous sedation for the management of distal ureteric calculi","volume":"10","author":"Hosking DH","year":"2003","unstructured":"3.Hosking DH, , Smith WE, , McColm SE. A comparison of extracorporeal shock wave lithotripsy and ureteroscopy under intravenous sedation for the management of distal ureteric calculi. 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