Flexible ureteroscopy in renal anomalies: an explainable AI model for surgical outcome prediction from EAU endourology

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Flexible ureteroscopy (fURS) is effective for managing renal calculi but poses challenges in patients with congenital renal anomalies.
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Anatomical variations in renal anomalies complicate access and may lower success rates for stone clearance during fURS.
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Explainable AI (XAI) models can enhance surgical outcome predictions by clarifying the contributions of individual features.
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The study analyzed 569 cases, revealing a stone-free rate of 72.06% at 3-month follow-up after fURS in patients with renal anomalies.
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Complications included significant haematuria in 34 patients and postoperative sepsis in 53 patients, highlighting the procedure's risks.

World Journal Of Urology

by Carlotta Nedbal, Vineet Gauhar, Sairam Adithya, Nithesh Naik, Shilpa Gite, Het Sevalia, Daniele Castellani, Andrea Gregori, Frédéric Panthier, Yiloren Tanidir, Anil Shrestha, Vikram Sridharan, Abhishek Singh, Boyke Soebhali, Mohamed Amine Lakmichi, Saeed Biin Hamri, Bhaskar Kumar Somani
September 2, 2025

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