Prospective multicenter real-world outcomes of Suction Technology Utility in Mini-PCNL Study (STUMPS) in modern-day practice: formulation of the global STUMPS registry on behalf of the endourology section of the European Association of Urology and the suction mini-PCNL collaborative study group

5

Issued Date

2025-12-01

Resource Type

Article

ISSN

07244983

eISSN

14338726

DOI

10.1007/s00345-025-05656-8

Scopus ID

2-s2.0-105005078899

Journal Title

World Journal of Urology

Volume

43

Issue

1

Rights Holder(s)

SCOPUS

Bibliographic Citation

World Journal of Urology Vol.43 No.1 (2025)

Suggested Citation

Gauhar V., Castellani D., Kalathia J., Mehta A., Gadzhiev N., Malkhasyan V., Kumar N., Kalbit R.H., Gorgotsky I., Gokce M.i., Laymon M., Inoue T., Tak G.R., Baker A., Dholaria P., Chawla A., Beltrán-Suárez E., Mahajan A., Fong K.Y., Yuen S.K.K., Tan K., Omar M., Petkova K., Taguchi K., Ketsuwan C., Lakmichi M.A., Palaniappan S., Tanidir Y., Akdogan N., Cepeda M., Martov A., Tokhtiyev Z., Tzelves L., Skolarikos A., Acuña E., Zawadzki M., Kamal W., Lopes L.G., Gorelov D., Agrawal M.S., Vaddi C.M., Somani B.K., Herrmann T.R.W. Prospective multicenter real-world outcomes of Suction Technology Utility in Mini-PCNL Study (STUMPS) in modern-day practice: formulation of the global STUMPS registry on behalf of the endourology section of the European Association of Urology and the suction mini-PCNL collaborative study group. World Journal of Urology Vol.43 No.1 (2025). doi:10.1007/s00345-025-05656-8 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/110323

Title

Prospective multicenter real-world outcomes of Suction Technology Utility in Mini-PCNL Study (STUMPS) in modern-day practice: formulation of the global STUMPS registry on behalf of the endourology section of the European Association of Urology and the suction mini-PCNL collaborative study group

Author(s)

Gauhar V.
 Castellani D.
 Kalathia J.
 Mehta A.
 Gadzhiev N.
 Malkhasyan V.
 Kumar N.
 Kalbit R.H.
 Gorgotsky I.
 Gokce M.i.
 Laymon M.
 Inoue T.
 Tak G.R.
 Baker A.
 Dholaria P.
 Chawla A.
 Beltrán-Suárez E.
 Mahajan A.
 Fong K.Y.
 Yuen S.K.K.
 Tan K.
 Omar M.
 Petkova K.
 Taguchi K.
 Ketsuwan C.
 Lakmichi M.A.
 Palaniappan S.
 Tanidir Y.
 Akdogan N.
 Cepeda M.
 Martov A.
 Tokhtiyev Z.
 Tzelves L.
 Skolarikos A.
 Acuña E.
 Zawadzki M.
 Kamal W.
 Lopes L.G.
 Gorelov D.
 Agrawal M.S.
 Vaddi C.M.
 Somani B.K.
 Herrmann T.R.W.

Author's Affiliation

European Association of Urology
 Sengkang General Hospital
 Ramathibodi Hospital
 Saint-Petersburg State University Hospital
 Military Medical Academy, Sofia
 Azienda Ospedaliera Universitaria Ospedali Riuniti, Ancona
 Kantonsspital Frauenfeld
 Hamad Medical Corporation
 Jose R. Reyes Memorial Medical Center
 National and Kapodistrian University of Athens
 Hannover Medical School
 Menoufia University
 MGM Medical College, Aurangabad
 Kasturba Medical College, Manipal
 Hospital Universitario Río Hortega
 Ankara Üniversitesi
 Kobe University
 CHU Mohammed-VI
 Instituto Mexicano del Seguro Social
 Faculty of Medicine
 King Fahd General Hospital
 Nagoya City University Graduate School of Medical Sciences
 Chinese University of Hong Kong
 Pavlov University
 Çukurova Üniversitesi Tip Fakültesi
 Stellenbosch University
 University Hospital Southampton NHS Foundation Trust
 Institution Hospital Provincial de Ovalle
 Fortune Urology Clinic
 Pushpanjali Hospital & Research Centre
 Preeti Urology and Kidney Hospital
 Veterans Memorial Medical Center
 Ng Teng Fong General Hospital
 Asian Institute of Nephrology and Urology
 Ford Hospital
 St. Anna Hospital
 B T Savani Kidney Hospital
 FMBA of Russia
 Medicana Ataşehir Hospital
 Santa Casa de Belo Horizonte
 Botkin Hospital

Corresponding Author(s)

Gauhar V.

Other Contributor(s)

Mahidol University

Abstract

Purpose: To present outcomes of a registry to understand the practice patterns, resource utilization, and nuances of suction mini-percutaneous nephron lithotripsy (SM-PCNL). Methods: Data from 30 centers in 21 countries were prospectively collected (March–November 2024). SM-PCNL was defined as PCNL using a suction nephrostomy sheath of size 14–22 Fr. with any lithotripsy device. There were no instructions on how to perform the surgical procedure. Stone features and stone-free status were assessed using an unenhanced CT scan. Data are presented as median/interquartile range and frequency/proportion. Results: 1707 patients were included and 42.4% of them were males. Most were first-time stone formers. Median age was 50 years. Median stone volume was 1700 mm3. Surgery was commonly performed using a single access tract (92.9%) and in supine position (56.5%). The fluoroscopy-only puncture was used as the most common access (70.7%), followed by the combination of fluoroscopy and ultrasound (25.1%). Median operation time was 45 min. The most common sheath was Clearpetra (27.8%). Thulium fiber laser was the most frequent energy used (26.2%). A tubeless procedure with a stent was employed in 47.0% of cases. Most common complications were fever managed by observation (7.3%), fever requiring antibiotics (3.3%), blood transfusion (1.1%), and sepsis (0.2%). Median hospitalization was 3 days. 30-day CT scan showed zero fragments in 82.4% of patients. Reintervention was performed in 2.6% of cases. Conclusions: This registry outlines the various equipment, peri-operative strategies, complications, and outcomes of SM-PCNL performed in real-world practice, providing valuable data on the nuances of performing such surgery.

Keyword(s)

Medicine

Availability

URI

https://repository.li.mahidol.ac.th/handle/123456789/110323

Collections

Scopus 2025