ArticleWorld journal of urology2022
The use of 14/16Fr ureter access sheath for safe and effective management of large upper ureteral calculi.
Article in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 15 citations in OpenAlex.
- Is flexible navigable suction ureteral access sheath (FANS) safer and more efficient than conventional sheaths? Italian multicentric experience.World journal of urology · 2025Trial
- The impact of preoperative CT-based 3D visualization model on ureteric access sheath placement failure without pre-stenting.BMC urology · 2026Article
- A feasibility study of a novel irrigation technique for reducing intrapelvic pressure during ureterorenoscopy using conventional devices.BMC urology · 2026Article
- Iatrogenic upper urinary tract injuries during ureteroscopy for urolithiasis: a comprehensive review on incidence, mechanisms and preventative strategies.Nature reviews. Urology · 2025Review
- Innersight, a novel software for the formation of preoperative CT-based 3D models for the treatment of lithiasis: does it really help? A pilot study.World journal of urology · 2025Article
- Article
- Advancing stone treatment: the transformative impact of flexible navigable suction ureteral access sheath (fans) for inferior calyx calculi (<2 cm).Frontiers in urology · 2025Article
- Sotn ureteroscope system with vacuum suctioning device for treating complicated steinstrasse: a case series.Frontiers in surgery · 2025Article
- Comparison of traditional and novel tip-flexible suctioning ureteral access sheath combined with flexible ureteroscope to treat unilateral renal calculi.World journal of urology · 2023Article
- CT-Based Predictor for the Success of 12/14-Fr Ureteral Access Sheath Placement.International journal of clinical practice · 2022Article
- Identification of the Risk Factors for the Failure of Ureteral Access Sheath Placement.International journal of clinical practice · 2022Article
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Authors and funding
10 authors at 1 institution in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the effectiveness of ureteroscopic lithotripsy for the management of large proximal ureteral stones > 10 mm using 14/16 Fr ureteral access sheath (UAS). MATERIALS AND
methodsPatients' data from prospective database undergoing ureteroscopic laser lithotripsy with a use of 14/16Fr UAS were collected. All patients were pre-stented prior to the procedure. The fragmentation was performed with a semi-rigid ureteroscope using holmium laser energy with a power setting of 35 W (frequency-35 Hz; energy-1 J). Follow-up was scheduled at 4 weeks and 3 months postoperatively.
resultsIn total 78 patients, 43 males and 35 females, were included in the study. The mean age of the patients was 59.5 ± 13.3 with a mean maximal stone diameter of 13.4 ± 2.1. The mean operative time was 35.7 ± 9.7 and the mean hospital stay was 2 ± 0.7 days. The primary SFR at 4 weeks was 73 patients (93.6%), while all 78 patients (100%) were stone free at 3-month follow-up, 2 of the patients receiving additional treatment. In total, 8 (10.2%) patients experienced Grade II complications. Intraoperative ureteral lesions were observed in 41 (52.6%) cases. Out of them 31 patients (39.7%) developed Grade 1, 8 patients (10.3%) Grade 2 and only 3 patients (2.6%) Grade 3 lesions.
conclusionThe use of 14/16Fr ureteral access sheath on pre-stented patients was associated with successful outcomes. A high stone-free rate of 93.6% was achieved at 4-week follow-up. The procedure was not associated with increased rate of postoperative complications and intraoperative ureteral injury.
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