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The SURE Kidney Stone Procedure by Calyxo

Writer: Adnan Dervishi, MD
Adnan Dervishi, MD
May 1, 2024
1 min read

Updated: Oct 2


The SURE (steerable ureteroscopic renal evacuation) procedure by Calyxo is used during ureteroscopy for kidney stones. It uses the CVAC Aspiration System, a steerable catheter with irrigation and suction, to help remove stone fragments after the stone has been broken up with a laser.


Key Features of the SURE Procedure:


Visualization: The ureteroscope allows the surgeon to see inside the kidney directly. The CVAC catheter is used to suction out stone fragments and dust; the stone itself is broken up with a laser.

Evidence: In a randomized trial sponsored by the manufacturer (ASPIRE, 101 patients analyzed), the share of patients with no residual fragments at 30 days was similar with SURE and standard ureteroscopy (48% vs 49%), and the measured residual stone volume was lower with SURE. Longer-term and independent data are limited, and results vary by patient and stone.

Safety: In the same trial, safety was reported as comparable to standard ureteroscopy. As with any ureteroscopy, risks include infection, bleeding, injury to the ureter, and the possible need for a temporary stent or additional procedures.

Recovery: SURE is performed through the urinary tract without a skin incision. Discomfort and recovery vary by patient, and a temporary ureteral stent may be needed. Your urologist can discuss whether this approach is appropriate for your stones.


For more details or to schedule a consultation, contact Urology Associates to discuss your treatment options.


 
 

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