Introducing a new device for direct in-scope suction technique during flexible ureteroscopy for kidney stone disease: an EAU Section of Endourology prospective multicenter audit using the GLITZ system.

Background: The direct in-scope suction (DISS) involves a two-way adaptor mounted on a scope to aspirate and irrigate the pelvicalyceal system during flexible ureteroscopy. While integrated suction single-use scopes manage small dust particles effectively, they cannot remove particles >250 µm and are limited by single use.

Objectives: To evaluate perioperative outcomes of the GLITZ system, a lightweight suction accessory for flexible ureteroscopes, facilitating laser lithotripsy with integrated aspiration.