Management of complex renal stones in horseshoe kidney using real-time intrarenal pressure monitoring with artificial intelligence in retrograde intrarenal surgery: A case report
Retrograde intrarenal surgery (RIRS) in horseshoe kidneys is technically challenging due to altered anatomy and unstable intrarenal pressure (IRP). We report a case of a 45-year-old male with complex renal stones in a horseshoe kidney managed using artificial intelligence (AI)-assisted real-time IRP monitoring during RIRS. The AI system dynamically regulated irrigation and suction to maintain IRP within a safe range (∼30 mmHg), improving intraoperative visibility and procedural control. Stone clearance was achieved without complications. This case highlights the feasibility and potential safety benefits of AI-assisted IRP monitoring in anatomically complex kidneys.
Authors
- Armand Achmadsyah (ORCID: https://orcid.org/0000-0002-7831-0610)
- Gerhard Reinaldi Situmorang (ORCID: https://orcid.org/0000-0002-3614-6779)
- Nur Rasyid (ORCID: https://orcid.org/0000-0003-4473-755X)
- Favian Ariiq Rahmat (ORCID: https://orcid.org/0000-0002-7142-907X)
- Ponco Birowo (ORCID: https://orcid.org/0000-0003-2934-6753)
- Nadhif Faza Ananda
- Mukhlis Akmal Taher
- Widi Atmoko
Institutions
- University of Indonesia (ID)
- Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo (ID)
Publication Details
- Journal
- Urology Case Reports
- Published
- 2026-02-04
- DOI
- https://doi.org/10.1016/j.eucr.2026.103366
- Primary Topic
- Kidney Stones and Urolithiasis Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00