ArticleWorld journal of urology2024
The optimal ratio of endoscope-sheath diameter with negative-pressure ureteral access sheath: an in vitro research.
Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.
What it found
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The trial behind it
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Who cites it
45 citing papers in PubMed.
- Efficacy and safety of 6.3-Fr versus 8.6-Fr disposable digital flexible ureteroscopes for pediatric upper urinary tract stones ≤ 2 cm: a randomized controlled trial.World journal of urology · 2026Trial
- In vitro performance of the Vortex Intelligent Stone Optimized Removal (VISOR) system versus the flexible and navigable suction ureteral access sheath (FANS) on stone clearance efficiency and intrarenal pressure control.World journal of urology · 2026Article
- Paradigm shifts in fluid management using suction irrigation pressure autoregulating systems in modern flexible ureteroscopy with flexible and navigable suction access sheath: an evidence-based narrative from EAU Endourology.Current opinion in urology · 2026Review
- [Effect of leg-split-free lateral decubitus position and lithotomy position on renal pelvic pressure and clinical outcomes during flexible ureteroscopic lithotripsy].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026Article
- A novel 7.5 single-use flexible ureteroscope with in-built temperature and pressure sensors: Is there a limit to reliability and safety? An in vivo experimental study.World journal of urology · 2026Article
- Article
- Intrarenal pressure during the flexible and navigable suction ureteral access sheath-assisted retrograde intrarenal surgery: a two-center study.International urology and nephrology · 2026Article
- Size matters: not all scopes are created equal! A flow rate reality check for single-use flexible ureteroscopes.World journal of urology · 2026Article
- Pressure and sheath settings in a flexible suction ureteral access sheath: in-vitro assessment for retrograde intrarenal surgery.World journal of urology · 2026Article
- Magneto Ho:YAG laser versus Thulium Fiber Laser for laser lithotripsy during flexible ureteroscopy with a flexible and navigable ureteral access sheath.International urology and nephrology · 2026Article
- Flexible and navigable suction access sheaths: balancing sheath and scope size for desired flows.BJU international · 2026Article
- Is 3 cm the upper limit of stone size for effective steerable ureteroscopic renal stone evacuation?World journal of urology · 2026Observational
- Computational fluid dynamics-based flow field simulation and optimization of negative-pressure stone removal: stone size, position, and sheath geometry.Scientific reports · 2026Article
- Flexible and navigable suction ureteral access sheath's impact on ureteroscope deflection.World journal of urology · 2026Article
- Effect of Conventional Versus Flexible and Navigable Suction Ureteral Access Sheaths on Ureteral Temperature Modulation During High-power Ho:YAG Laser Lithotripsy: An In Vitro Evaluation.European urology open science · 2026Article
- Handle with care: ureteral access sheath positioning modulates intrarenal pressure-insights from an EAU endourology ex vivo study using four ureteroscope sizes.World journal of urology · 2026Article
- How do we choose the optimal length of flexible and navigable suction ureteral access sheaths (FANS): an EAU endourology and AUSET prospective multicenter analysis.World journal of urology · 2026Article
- Article
- Research Progress in Minimally Invasive Surgical Treatment for Upper Urinary Tract Stones: A Review.Research and reports in urology · 2026Review
- Monitoring Intrarenal Pressure vs. Irrigation Fluid Absorption for Infection Prevention in Ureteroscopy.Advances in urology · 2026Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeTo maintain safe intrarenal pelvic pressure (IPP), the combination of flexible ureteroscope (fURS) and traditional ureteral access sheath (T-UAS) should maintain a basic rule that is the ratio of endoscope-sheath diameter (RESD) ≤ 0.75. However, the negative-pressure ureteral access sheath (NP-UAS) may break the rule of negative pressure suction. This study aimed to examine the effect of NP-UAS on IPP and flow rate (FR) with varying RESD.
methodsIn a 3D-printed renal model, flexible ureteroscopy lithotripsy (fURL) was replicated. Six sizes of fURS paired with 12Fr T-UAS and NP-UAS resulted in six distinct RESDs of 0.63, 0.78, 0.87, 0.89, 0.90, and 0.91. While the irrigation pressure (IRP) was set between 100 and 800 cmH
resultsNP-UASs can reduce the IPP and increase the FR at the same RESD compared to T-UASs. The IPP decreased with increasing SP with NP-UAS. When RESD ≤ 0.78, T-UAS and NP-UAS can maintain IPP < 40 cmH
conclusionNP-UAS can decrease IPP and increase FR compared with T-UAS. To maintain a safe IPP, it is recommended that RESD < 0.85 when utilizing NP-UAS.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.