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March 12, 20260 citations

Is Fluoroscopy Needed for Endourologic Treatment of Ureteral and Renal Stones? Results from a Systematic Review and Meta-Analysis of Randomized Studies by the FUTURE Collaborative of the Endourological Society.

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DCDaniele CastellaniFFFederico FalsettiLSLuca Spinozzi

Key Points

  • The research aims to compare the safety and efficacy of fluoroless techniques versus fluoroscopy for treating ureteral and renal stones.
  • Conducted a systematic review and meta-analysis of randomized studies
  • Evaluated outcomes of ultrasound-guided percutaneous nephrolithotomy (PCNL) and ureteroscopy (URS)
  • Assessed operative times and safety metrics
  • Fluoroless ultrasound-guided PCNL showed superior safety compared to fluoroscopy-guided methods
  • Both fluoroless URS and fluoroscopy-guided URS demonstrated equivalent safety and efficacy
  • Minimal differences were observed in operative times between the two techniques

Abstract

Fluoroless ultrasound-guided PCNL demonstrates superior safety with maintained efficacy compared with fluoroscopy-guided techniques. Fluoroless URS shows equivalent safety and efficacy with minimal operative time differences. These findings support transitioning from fluoroscopy-dependent to fluoroscopy-optional endourology, aligning with radiation safety principles while maintaining optimal patient outcomes.

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Cite This Study

Castellani et al. (2026) studied this question.

synapsesocial.com/papers/69b25b2b96eeacc4fcec992fhttps://doi.org/10.1177/08927790261427841
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