ReviewCurrent urology reports2026
Difficult Access in Endourology: Anatomical Challenges and Contemporary Management.
Review in Current urology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose of reviewThis review provides a comprehensive overview of difficult access in endourology. This focuses on anatomical factors that complicate endoscopic management of upper and lower urinary tract diseases and discussing strategies to manage these challenges. RECENT
findingsAdvances in preoperative imaging, three-dimensional reconstruction, flexible digital ureteroscopes, suction-assisted ureteral access sheaths, thulium fibre laser technology, miniaturized percutaneous techniques, and image-guided navigation have significantly improved management in patients with complex anatomy. Improved understanding of congenital and acquired anatomical variations has facilitated individualized surgical planning. Difficult access is a major determinant of operative success and complications in endourology. Anatomical challenges-including narrow ureters, tortuous ureters, lower pole anatomy, calyceal diverticula, horseshoe kidneys, urinary diversion, obesity, spinal deformity, and previous surgery-require preoperative assessment and selective intraoperative strategies. This review summarizes current evidence, practical technical solutions, emerging technologies, and future directions to optimize access, improve stone-free rates, minimize complications, and enhance patient outcomes in complex endourological cases.
Indexed as
Identifiers
42700323What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.