The morning symposium of SIU 2025, "Suction in Endourology: More Than Just Suction, Understanding Fluid Dynamics ", is now available for online viewing

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Welcome everyone to click on the following link to watch and learn about the full content of this morning symposium:

https://academy.siu-urology.org/siu/2025/45th/4189772/faculty.presenters.morning.symposium.-.suction.in.endourology.-.more.than.just.html

 

Faculty Introduction

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Main topics

1. Analyze the principles of fluid dynamics (specifically pressure and temperature) within the renal collecting system.

2. Explain how automated irrigation systems can optimize these parameters to improve safety and efficacy in flexible ureteroscopy.

3.  Understand the design, functionality, and clinical outcomes of integrated irrigation/suction platforms, listing the key merits and demerits.

4. Integrate the principles of controlled irrigation and suction into surgical strategy to enhance stone clearance, minimize complications, and improve overall procedural workflow.

 

Symposium backdrop

In Edinburgh, UK - The morning session supported by ZSR at the 45th International Congress of Urology was held in Edinburgh on October 30, 2025, attracting 122 in-person delegates from 37 countries and 1,663 online viewers, making it one of the most popular supporting panel discussions at the conference.

 

The importance of IRP monitoring

Intrarenal pressure (IRP) refers to the real-time pressure in the renal pelvis during surgery, which is the core physiological index to evaluate the safety of surgery. During procedures such as Retrograde Intrarenal Surgery (RIRS) or Percutaneous Nephrolithotomy (PCNL), fluids that require continuous infusion can lead to a significant increase in IRP. When IRP exceeds a specific threshold, it can cause reflux of perfusate into the circulation through renal pelvic veins, lymphatic vessels or renal parenchyma, resulting in systemic inflammatory response syndrome (SIRS) and even urosepsis. At the same time, it can directly cause renal parenchymal edema, renal tubular injury or rupture of the collecting system. Therefore, real-time monitoring of intraoperative IRP using pressure monitoring equipment can significantly reduce the incidence of postoperative infection, sepsis, kidney injury and other serious complications, improve the prognosis of patients, and improve the safety of surgery.

 

ZSR IRP-Controlled Irrigation & Suction System

The Intelligent IRP-controlled Irrigation and Suction Pump made by ZSR can accurately regulate the perfusion pressure, flow rate and suction level to ensure the efficient control of the surgical environment. To help surgeons maintain clear vision while reducing operation time and minimizing complications.
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