Systematic review of ureteral access sheaths: facts and myths

BJU International
Vincent De ConinckOlivier Traxer

Abstract

The aim of the present paper was to review the literature on all available ureteral access sheaths (UASs) with their indications, limitations, risks, advantages and disadvantages in current modern endourological practice. Two authors searched Medline, Scopus, Embase and Web of Science databases to identify studies on UASs published in English. No time period restriction was applied. All original articles reporting outcomes or innovations were included. Additional articles identified through references lists were also included. Case reports, editorials, letters, review articles and meeting abstracts were excluded. A total of 754 abstracts were screened, 176 original articles were assessed for eligibility and 83 articles were included in the review. Based on a low level of evidence, UASs increase irrigation flow during flexible ureteroscopy and decrease intrapelvic pressure and probably infectious complications. Data were controversial and sparse on the impact of UASs on multiple reinsertions and withdrawals of a ureteroscope, stone-free rates, ureteroscope protection or damage, postoperative pain, risk of ureteral strictures, and also on its cost-effectiveness. Studies on the benefit of UASs in paediatrics and in patients with a...Continue Reading

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Citations

Nov 22, 2019·World Journal of Urology·Vincent De ConinckOlivier Traxer
Jul 25, 2020·Scientific Reports·Shuzo HamamotoTakahiro Yasui
Feb 17, 2019·World Journal of Urology·Etienne Xavier KellerOlivier Traxer
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Mar 21, 2021·European Urology Focus·Jong Keun KimUNKNOWN Young Endourological Study group
Apr 10, 2019·The Urologic Clinics of North America·Etienne Xavier KellerOlivier Traxer
Jun 23, 2021·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Erman DamarOmer Faruk Bozkurt
Aug 27, 2021·Frontiers in Surgery·Johnathan A KhusidMantu Gupta
Dec 30, 2021·Journal of Endourology·Nadya E York

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