Awareness and management of irrigation flow and pressure dynamics during RIRS can mitigate elevated intrarenal pressures and reduce surgical complications.
Several complications of RIRS are related to elevated IRPs, which cause pyelorenal backflow and forniceal rupture. Irrigation flow and pressure dynamics drive IRP changes during RIRS. Awareness of these factors will allow urologists to institute strategies to mitigate IRP during RIRS, thereby reducing complications and improving patient outcomes.
John et al. (Mon,) studied this question.