To provide a comprehensive overview of existing literature on suction-assisted ureteroscopy, evaluating its effectiveness and associated complications.
A literature review was conducted in December 2024 using the MEDLINE, EMBASE and Scopus databases by two independent authors. To structure and address the clinical question, "Do suction devices improve outcomes in RIRS?", we employed the PICOS (Patient, Intervention, Comparison, Outcome, Study Type) model. Exclusion criteria included case reports, studies involving suction techniques outside the context of endocorporeal laser lithotripsy (ELL), non-English language articles and articles or clinical trials with fewer than 15 patients.
Among the 36 included studies, 28 studies focused on SUAS, of which seven specifically investigated SUAS with pressure measurement, three studies examined DISS, three studies evaluated SURE and two comparative studies analyzed different suction techniques. The presented results show that advancements in suction technology seem very promising and likely to shift endourological practice.
Current opinion in urology. 2025 May 21 [Epub ahead of print]
Mariela Corrales, Matthias Boeykens, Alba Sierra Del Rio, Eugenio Ventimiglia, Amelia Pietropaolo, Bhaskar Somani, Olivier Traxer
Sorbonne University GRC Urolithiasis no. 20 Tenon Hospital Sorbonne University, Department of Urology AP-HP, Tenon Hospital, Paris, France., Department of Urology, University Hospital Ghent, Corneel Heymanslaan 10, Ghent., Department of Urology, Hospital Clinic de Barcelona, Barcelona, Spain., Division of Experimental Oncology, Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy., Department of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.