ArticleWorld journal of urology2023
Comparison of traditional and novel tip-flexible suctioning ureteral access sheath combined with flexible ureteroscope to treat unilateral renal calculi.
Article in World journal of urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06684756 (The Comparison of the Efficacy and Safety of Vacuum-Assisted and Conventional Ureteral Access Sheath in Retrograde Intrarenal Surgery), which is not on this map. Cited by 53 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Comparison of the Efficacy and Safety of Vacuum-Assisted and Conventional Ureteral Access Sheath in Retrograde Intrarenal Surgery: A Randomized Controlled Prospective Multicenter Study
Who cites it
53 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Suction-assisted ureteroscopy compared with traditional ureteroscopy for renal stones ≤ 2 cm: a systematic review, Bayesian network meta-analysis and meta-regression.World journal of urology · 2026Pooled it
- Efficacy and Safety of Flexible and Navigable Suction Ureteral Access Sheath Versus Conventional Ureteral Access Sheath in Retrograde Intrarenal Surgery: An Updated Systematic Review and Meta-Analysis.Medicina (Kaunas, Lithuania) · 2026Pooled it
- Pooled it
- Efficacy and safety of flexible and navigable suction access sheaths versus traditional access sheath in flexible ureteroscopic lithotripsy: a systematic review and meta-analysis.World journal of urology · 2025Pooled it
- Pooled it
- Pooled it
- Enhanced stone-free rates with suctioning ureteral access sheath vs. traditional sheath in retrograde intrarenal surgery: a systematic review and meta-analysis.BMC urology · 2025Pooled it
- Efficacy and safety of the flexible negative-pressure ureteral sheath in retrograde intrarenal surgery: a systematic review and meta-analysis.Frontiers in surgery · 2025Pooled it
- F-URS with FANS versus mPCNL for 2-3 cm UUTS: a RCT with a subgroup analysis of 2-2.5 cm stones.BJU international · 2026Trial
- Comparison of suction and standard ureteral access sheath versus sheathless flexible ureteroscopy in management of upper ureteral and renal calculi.BMC urology · 2026Trial
- Efficacy and safety of bilateral same session flexible ureteroscopy using flexible and navigable suction ureteral access sheath (FANS) versus conventional access sheath: a prospective randomized comparative study.World journal of urology · 2025Trial
- Is flexible navigable suction ureteral access sheath (FANS) safer and more efficient than conventional sheaths? Italian multicentric experience.World journal of urology · 2025Trial
- Stone-Event-Free Survival After Ureteroscopic Lithotripsy According to Residual Fragment Size: Zero Residual Fragment Indicates a Good Prognosis.International journal of urology : official journal of the Japanese Urological Association · 2026Article
- Comparison of Flexible and Navigable Suction Ureteral Access Sheath Versus Conventional Ureteric Access Sheath in RIRS: A Systematic Review and Meta-Analysis.Urology research & practice · 2026Article
- Experimental stone clearance with in-scope suction and flexible and navigable suction access sheaths.BJU international · 2026Article
- Efficacy analysis of a flexible-tip vacuum sheath combined with a 7.5F single-use digital ureteroscope in the treatment of upper urinary tract stones.Translational andrology and urology · 2026Article
- When heterogeneity dominates: interpreting TBS-UAS benefits in RIRS with prediction intervals.International journal of surgery (London, England) · 2026Article
- Flexible ureteroscopy under local anesthesia for 2-4 cm renal stones: FANS outperforms traditional sheaths.Urolithiasis · 2025Article
- Flexible suction ureteral access sheaths vs. sheathless RIRS for renal and proximal ureteral stones: a comparative study.International urology and nephrology · 2025Article
- Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
objectivesTo compare the safety and efficacy of novel tip-flexible suctioning ureteral access sheath (NTFS-UAS) and traditional ureteral access sheath (T-UAS) combined with flexible ureteroscope for treating unilateral renal calculi. MATERIALS AND
methodsThe clinical data of 214 patients with unilateral renal calculi treated by NTFS-UAS (n = 102) and T-UAS (n = 112) combined with flexible ureteroscope from August 2021 to April 2022 were analyzed retrospectively. Demographic characteristics, stone-related parameters, operative time, stone-free rates (SFR), hospitalization time and complication rate (CR) were analyzed.
resultNo significant difference was observed between the two groups in terms of demographic characteristics, stone-related parameters, intraoperative CR, and hospitalization time. The operative time of NTFS-UAS group was significantly shorter than T-UAS group (55.25 ± 11.42 min vs. 59.36 ± 15.59 min; P = 0.028). The NTFS-UAS group obtained significantly higher SFR on 1 day postoperatively (86.3% vs. 75.0%; P = 0.038), and higher SFR on 30 days postoperatively than T-UAS group (91.2% vs. 81.3%; P = 0.037). The hemoglobin loss of NTFS-UAS group (- 0.54 ± 0.69 g/dl) was significantly lower than T-UAS group (- 0.83 ± 0.66 g/dl; P = 0.002). There was a significantly lower incidence of overall CR (11.8% vs. 22.3%; P = 0.041), and infectious CR (8.8% vs. 18.8%; P = 0.037) in the NTFS-UAS group.
conclusionCompared to T-UAS combined with flexible ureteroscope for treating unilateral renal calculi, NTFS-UAS had superiority in higher SFR on 1 day and 30 days postoperatively. Shorter operation time, lower hemoglobin loss, lower incidences of overall and infectious CR were observed in NTFS-UAS group. REGISTRATION NUMBER AND DATE: ChiCTR2300070210; April 5, 2023.
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