Monitoring Intrarenal Pressure During Ureteroscopy May Help Reduce Complications

The need for intrarenal pressure (IRP) monitoring

Fluid irrigation during flexible ureteroscopy is necessary to improve visibility and distention of the upper urinary tract. This can lead to elevated IRP with potential post-operative complications.^1,2

Complications of elevated IRP may include: 

• Pain^4,5
  
• Renal damage and pathological changes^2,4,6
  
• Systemic inflammatory response syndrome^2,7
  
• Fluid absorption^2,4,8-10
  
• Fever^2,7
  
• Infection^2,4,7,11
  
• Sepsis^2,4,7,11
  
• Pyelovenous backflow ^2,4,8-10
  

“The higher the IRP,

the higher the concern for patient safety”

Expert consensus on high intrarenal pressure during ureteroscopy: A pan-European Delphi panel

In 2024, a Delphi panel of 11 physicians was conducted to help identify the patients most at risk of developing post-op complications due to high intrarenal pressures.

11 consensus statements were voted on, covering topics such as:

Access the Delphi Panel abstract presented at the European Association of Urology (EAU) Congress in Paris, France, March
2024.  

Expert consensus on high intrarenal pressure during ureteroscopy: A pan-European Delphi panel Somani B., Davis N., Emiliani E., Gökce M.I., Jung H.U., Keller E.X., Miernik A., Proietti S., Turney B., Wiseman O., Traxer O.

Download the academic publications

Croghan et al. BJU Int. 2023, In vivo ureteroscopic intrarenal pressures and clinical outcomes: a multi-institutional analysis of 120 consecutive patients.

Bhojani et al. BJU Int. 2023, Sepsis prevalence and associated hospital admission and mortality after ureteroscopy in employed adults.

De Coninck et al. World Journal of Urology 2020, Complications of ureteroscopy: a complete overview.

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