REVIEWCurrent evidence for suction in endourological procedures: comprehensive review of literatureQuhal, Fahada,b; Zeng, Guohuac; Seitz, Christiana,d Author Information aDepartment of Urology, Medical University of Vienna, Vienna, Austria bDepartment of Urology, King Fahad Specialist Hospital, Dammam, Saudi Arabia cDepartment of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, and Guangdong Key Laboratory of Urology, Guangzhou, China dEuropean Urolithiasis Society (EULIS), Arnhem, The Netherlands Correspondence to Christian Seitz, Department of Urology, Medical University Vienna, Wahringer Gurtel 18-20, 1090 Vienna, Austria. Tel: +43 69918195333; e-mail: [email protected] Current Opinion in Urology: November 08, 2022 - Volume - Issue - 10.1097/MOU.0000000000001061 doi: 10.1097/MOU.0000000000001061 Buy PAP Metrics Abstract Purpose of review To identify the latest advances on the utilization of suctioning devices in the surgical treatment of urinary stones. Recent findings Advances are being made to incorporate suction and pressure control capabilities in percutaneous and ureteroscopic lithotripsy. Multiple retrospective studies and few prospective studies have shown that suctioning with minimally invasive percutaneous nephrolithotomy, commonly referred to as Super MiniPerc, can lead to better stone-free rates (SFR) and shorter operative time with lower incidence of infectious complications. Suctioning during retrograde intrarenal surgery (RIRS) has mainly been achieved through suctioning ureteral access sheath. Here as well, the incorporation of suction improved the SFR, but most importantly, reduced the risk of postoperative infectious complications. Summary Theoretically suction in endourological procedures could facilitate stone debris removal and could reduce intrarenal pressure at the same time allowing for increased irrigation flow potentially decreasing operation time and infectious complications. These claims are supported in contemporary clinical studies, reporting superior SFR and reduced postoperative infectious complications in both percutaneous nephrolithotomy and RIRS. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.