First European experience with LithoVue™ Elite: Multicentre end-user experience and feedback.
11 affiliations
- 1Department of Urology, University Hospital Southampton NHS Foundation Trust, United Kingdom.
- 2Department of Urology, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche, Ancona, Italy.
- 3Department of Urology, Fundació Puigvert, Barcelona, Spain.
- 4Department of Urology, University Medical Centre Freiburg, Germany.
- 5Department of Urology, University of Oxford, United Kingdom.
- 6Department of Urology, Cambridge University Hospitals NHS Foundation Trust, United Kingdom.
- 7Hospital Lillebaelt Vejle, Department of Urology, Odense, Denmark.
- 8San Raffaele Hospital Milan, Department of Urology, Milan, Italy.
- 9Department of Urology, Beaumont Hospital, Dublin, Ireland.
- 10Boston Scientific, Urology and Pelvic Health, Paris, France.
- 11Sorbonne University, GRC n°20 LITHIASE RENALE, AP-HP, Hôpital Tenon, F-75020 PARIS, France.
Abstract
Introduction
The LithoVue™ Elite (LVE) is a novel ureteroscope which allows measurement of intrarenal pressure (IRP) during flexible ureteroscopy (fURS). Here we report the survey of first European experience.Material and methods
A multicentric prospective analysis of end-user experience and feedback was performed for 51 consecutive patients undergoing fURS using LVE across 9 European centres involving 11 surgeons.Results
A total of 51 cases were analysed with a mean stone size of 9.9 mm (range:4-30 mm), standard ureteral access sheath used in 28 patients (54.9%), with multiple stones in 18 (35.3%) patients. The stone location was lower pole (n = 24; 47.1%), renal pelvis (n = 12; 23.5%), proximal ureter (n = 5; 9.8%), upper pole (n = 4; 7.8%), and other locations (n = 6; 11.7%). The irrigation method used for URS was manual pressure irrigation (n = 25, 49%), gravity with pressure cuff (n = 12; 23.5%), gravity with no pressure cuff (n = 9; 17.6%), and fluid management system or pump (n = 5; 9.8%). A planned pressure threshold (in mmHg) was documented by the surgeon in all cases, with a mean setpoint of ≤ 50 mmHg in 26 (51%) patients, 51-60 mmHg in 13 (25.5%) patients and above 60 mm Hg in 12 (23.5%) patients. Post-procedurally, in 48 (94.1%) cases, surgeons reported that real-time IRP monitoring influenced their surgical technique. The most common intraoperative modifications included reduced manual irrigation in 19 (37.3%), lowered irrigation bag height in 13 (25.50%), adjusted sheath positioning in 10 (19.6%), and reduced or avoidance irrigation pressure in 6 (11.8%) cases. Regarding perceived value, the pressure-sensing scope was rated as highly desirable in 28 procedures (54.9%), and moderately desirable in 16 (31.4%) procedures, yielding a combined desirability rating of 86.3%. Importantly, all 11 surgeons (100%) indicated an intention to continue using LVE, particularly in high-risk patients or complex procedures.Conclusions
Real time IRP measurement influenced intraoperative technique in majority of cases with surgeons adopting real-time strategies to reduce IRP. The LVE scope was rated as desirable by most users and was universally endorsed for continued use, especially in higher-risk scenarios. These findings support the integration of IRP monitoring as a valuable adjunct in endourologic practice.
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BibTeX
@article{fuligni2026first,
title = {{First European experience with LithoVue™ Elite: Multicentre end-user experience and feedback.}},
author = {Demetra Fuligni and Oriol Angerri and Arkadiusz Miernik and Benjamin Turney and Oliver J Wiseman and Helene Jung and Silvia Proietti and Guido Guisti and Niall Davis and Mohammad Boulmani and Olivier Traxer and Bhaskar K Somani},
journal = {Central European journal of urology},
year = {2026},
month = jun,
doi = {10.5173/ceju.2026.0209},
url = {https://europepmc.org/article/MED/42903638},
note = {CC BY-NC-SA},
}
RIS
TY - JOUR
TI - First European experience with LithoVue™ Elite: Multicentre end-user experience and feedback.
AU - Demetra Fuligni
AU - Oriol Angerri
AU - Arkadiusz Miernik
AU - Benjamin Turney
AU - Oliver J Wiseman
AU - Helene Jung
AU - Silvia Proietti
AU - Guido Guisti
AU - Niall Davis
AU - Mohammad Boulmani
AU - Olivier Traxer
AU - Bhaskar K Somani
PY - 2026
DA - 2026/06/30
JO - Central European journal of urology
DO - 10.5173/ceju.2026.0209
UR - https://europepmc.org/article/MED/42903638
AB - Introduction The LithoVue™ Elite (LVE) is a novel ureteroscope which allows measurement of intrarenal pressure (IRP) during flexible ureteroscopy (fURS). Here we report the survey of first European experience.Material and methods A multicentric prospective analysis of end-user experience and feedback was performed for 51 consecutive patients undergoing fURS using LVE across 9 European centres involving 11 surgeons.Results A total of 51 cases were analysed with a mean stone size of 9.9 mm (range:4-30 mm), standard ureteral access sheath used in 28 patients (54.9%), with multiple stones in 18 (35.3%) patients. The stone location was lower pole (n = 24; 47.1%), renal pelvis (n = 12; 23.5%), proximal ureter (n = 5; 9.8%), upper pole (n = 4; 7.8%), and other locations (n = 6; 11.7%). The irrigation method used for URS was manual pressure irrigation (n = 25, 49%), gravity with pressure cuff (n = 12; 23.5%), gravity with no pressure cuff (n = 9; 17.6%), and fluid management system or pump (n = 5; 9.8%). A planned pressure threshold (in mmHg) was documented by the surgeon in all cases, with a mean setpoint of ≤ 50 mmHg in 26 (51%) patients, 51-60 mmHg in 13 (25.5%) patients and above 60 mm Hg in 12 (23.5%) patients. Post-procedurally, in 48 (94.1%) cases, surgeons reported that real-time IRP monitoring influenced their surgical technique. The most common intraoperative modifications included reduced manual irrigation in 19 (37.3%), lowered irrigation bag height in 13 (25.50%), adjusted sheath positioning in 10 (19.6%), and reduced or avoidance irrigation pressure in 6 (11.8%) cases. Regarding perceived value, the pressure-sensing scope was rated as highly desirable in 28 procedures (54.9%), and moderately desirable in 16 (31.4%) procedures, yielding a combined desirability rating of 86.3%. Importantly, all 11 surgeons (100%) indicated an intention to continue using LVE, particularly in high-risk patients or complex procedures.Conclusions Real time IRP measurement influenced intraoperative technique in majority of cases with surgeons adopting real-time strategies to reduce IRP. The LVE scope was rated as desirable by most users and was universally endorsed for continued use, especially in higher-risk scenarios. These findings support the integration of IRP monitoring as a valuable adjunct in endourologic practice.
SN - 2080-4806
SN - 2080-4873
ER -