ArticleJournal of clinical medicine2023
Understanding the Role of Ureteral Access Sheath in Preventing Post-Operative Infectious Complications in Stone Patients Treated with Ureteroscopy and Ho:YAG Laser Lithotripsy: Results from a Tertiary Care Referral Center.
Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 12 citations in OpenAlex.
- Efficacy and safety of antegrade ureteroscopic lithotripsy versus retrograde ureteroscopic lithotripsy in the treatment of upper ureteric stones measuring > 10 mm in maximum dimension and/or impacted stones: randomized comparative study.World journal of urology · 2026Trial
- Ureteral access sheath or percutaneous nephrostomy during flexible ureteroscopy: which is better?Urolithiasis · 2025Trial
- Persistent asymptomatic bacteriuria despite targeted antibiotic treatment predicts infectious complications after RIRS: a 10-year experience with 1122 procedures.World journal of urology · 2026Article
- Letter to the Editor: insights into "A comparative analysis of tip-bendable suction ureteral access sheath versus traditional sheath in retrograde intrarenal stone surgery: a systematic review and meta-analysis of comparative studies".International journal of surgery (London, England) · 2026Article
- Beyond the sheath: unmasking true predictors of Post-fURS fever through propensitymatched precision.World journal of urology · 2025Article
- Intrarenal Pressure Monitoring During Ureteroscopy: A Delphi Panel Consensus.European urology open science · 2025Article
- Increased efficacy in lower pole stone management with a novel flexible and navigable suction ureteral access sheath with flexible ureteroscopic lithotripsy: a case series.Translational andrology and urology · 2025Article
- Outcomes of ureteroscopy and laser lithotripsy with and without ureteral access sheaths for the treatment of renal calculi: A systematic review and meta-analysis.Central European journal of urology · 2025Review
- Urinary Tract Infections: Prevention, Diagnosis, and Treatment.Journal of clinical medicine · 2023Article
- Ureteral access sheath. Does it improve the results of flexible ureteroscopy? A narrative review.International braz j urol : official journal of the Brazilian Society of UrologyArticle
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Authors and funding
15 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
INTRODUCTION AND
objectivesThe use of ureteral access sheaths (UAS) limits the irrigation-induced increase in intrarenal pressure during ureteroscopy (URS). We investigated the relationship between UAS and rates of postoperative infectious complications in stone patients treated with URS. MATERIALS AND
methodsData from 369 stone patients treated with URS from September 2016 to December 2021 at a single institution were analyzed. UAS (10/12 Fr) placement was attempted in case of intrarenal surgery. The chi-square test was used to assess the relationship between the use of UAS and fever, sepsis, and septic shock. Univariable and multivariable logistic regression analyses tested the association of patients' characteristics and operative data and the rate of postoperative infectious complications.
resultsFull data collection of 451 URS procedures was available. Overall, UAS was used in 220 (48.8%) procedures. As for postoperative infectious sequalae, we recorded fever (
conclusionsThe use of UAS emerged to prevent the onset of septic shock in patients treated with URS, with no clear benefit in terms of fever and sepsis. Further studies may help clarify whether the reduction in fluid reabsorption load mediated by UAS is protective against life-threatening conditions in case of infectious complications. The patients' baseline characteristics remain the main predictors of infectious sequelae in a clinical setting.
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