{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T20:07:26Z","timestamp":1793390846287,"version":"4.5.0"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Biorad Medisys"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Urology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The direct in-scope suction (DISS) involves a two-way adaptor mounted on a scope to aspirate and irrigate the pelvicalyceal system during flexible ureteroscopy. While integrated suction single-use scopes manage small dust particles effectively, they cannot remove particles &gt;250\u2009\u00b5m and are limited by single use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To evaluate perioperative outcomes of the GLITZ system, a lightweight suction accessory for flexible ureteroscopes, facilitating laser lithotripsy with integrated aspiration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Prospective, multicenter study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The GLITZ system, a 100\u2009g trigger mounted on the ureteroscope handle, integrates with an irrigation and aspiration apparatus featuring a flow-regulating sensor. A finger-trigger activates suction, stopping irrigation until released, enhancing visibility and safety by automatically stopping irrigation if blockages occur. The study involved 29 patients (November 2023\u2013April 2024). Procedures were performed using a disposable 7.5\u2009Fr ureteroscope, ureteral access sheath, and thulium fiber or 100\u2009W holmium:YAG laser. Surgeons evaluated ease of use and performance. Stone-free status was evaluated at a 30-day CT scan and classified as follows: Grade A: zero RF; Grade B: single RF not up 2\u2009mm; Grade C: single RF 2.1\u20134\u2009mm; and Grade D: single\/multiple RFs\u2009&gt;\u20094\u2009mm. Data are reported as median and (interquartile range).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 31.1% of patients were female. The median age was 54\u2009years. Pain was the most common complaint, and 41.8% had multiple stones. GLITZ system showed satisfactory performance in 93.1% of cases, with complete dust aspiration achieved in 62.1%. Device dislodgement occurred in 24.1% of cases. Median operative time was 40\u2009min, achieving postoperative CT at 30\u2009days confirmed Grade A stone-free status in 75.9%. Fever was the most common complication (10.3%), with no sepsis case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The GLITZ system in DISS shows effectiveness with a 96.6% stone-free rate (Grade A\u2009+\u2009B) at 30\u2009days, indicating strong potential for flexible ureteroscopy, though additional studies are needed to optimize flow rates and usability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17562872251320807","type":"journal-article","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:36:57Z","timestamp":1740105417000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Introducing a new device for direct in-scope suction technique during flexible ureteroscopy for kidney stone disease: an EAU Section of Endourology prospective multicenter audit using the GLITZ system"],"prefix":"10.1177","volume":"17","author":[{"given":"Vineet","family":"Gauhar","sequence":"first","affiliation":[{"name":"Department of Urology, Ng Teng Fong General Hospital, Singapore, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Traxer","sequence":"additional","affiliation":[{"name":"Department of Urology AP-HP, Sorbonne University, Tenon Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanjappa Madappa","family":"Kandarthanda","sequence":"additional","affiliation":[{"name":"Cauvery Uroderm Centre, Kalyan West, Kalyan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6248-6478","authenticated-orcid":false,"given":"Bhaskar K.","family":"Somani","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospitals Southampton, NHS Trust, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7354-9190","authenticated-orcid":false,"given":"Daniele","family":"Castellani","sequence":"additional","affiliation":[{"name":"Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Via Conca 71, Ancona 60126, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravindra B","family":"Sabnis","sequence":"additional","affiliation":[{"name":"Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Ragoori","sequence":"additional","affiliation":[{"name":"Department of Urology, Asian Institute of Nephrology & Urology, Irram Manzil Colony, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,20]]},"reference":[{"key":"bibr1-17562872251320807","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11195710"},{"key":"bibr2-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-05275-9"},{"key":"bibr3-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-05203-x"},{"key":"bibr4-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2024.05.010"},{"key":"bibr5-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1002\/bco2.408"},{"key":"bibr6-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1177\/17562872241232275"},{"key":"bibr7-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1016\/j.acuro.2023.02.008"},{"key":"bibr8-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"},{"key":"bibr9-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1177\/20514158241272717"},{"key":"bibr10-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-022-04257-z"},{"key":"bibr11-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2023.05.032"},{"key":"bibr12-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1089\/end.2016.0411"},{"key":"bibr13-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-022-01126-0"},{"key":"bibr14-17562872251320807","doi-asserted-by":"publisher","DOI":"10.23736\/S2724-6051.24.05961-5"},{"key":"bibr15-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1177\/17562872231198629"},{"key":"bibr16-17562872251320807","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-020-03178-z"}],"container-title":["Therapeutic 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