ArticleWorld journal of urology2024
Assessing flexible ureteroscopy outcomes for lower Pole versus non lower Pole stones using the flexible and navigable suction ureteric access sheath: a prospective multicenter study by EAU Endourology and PEARLS group.
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 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Percutaneous nephrolithotomy versus retrograde intrarenal surgery on mid-sized lower calyx stones- a systematic review of last decade.BMC urology · 2025Pooled it
- Article
- The global flexible and navigable suction ureteral access sheaths (FANS) survey on utility, practices and future needs in flexible ureteroscopy: a EAU Endourology, PEARLS and IAU collaboration.World journal of urology · 2026Article
- Article
- Article
- Efficacy and safety of ureteroscopy in children with lower pole renal stones : a machine learning predictive model from the EAU section of endourology.World journal of urology · 2025Article
- Head-to-head comparison of novel suction technologies in endourology: suction mini-PCNL versus flexible ureteroscopy using flexible and navigable suction ureteral access sheaths for renal stone management. An EAU-endourology, propensity score-matched analysis of 1372 patients.World journal of urology · 2025Article
- Lasing strategy and its influence on 30-day operative outcomes in flexible ureteroscopy with FANS: inferences from a real-world prospective multicenter study by EAU-endourology and AUSET.World journal of urology · 2025Article
- Machine learning-based prediction of stone-free rate after retrograde intrarenal surgery for lower pole renal stones.World journal of urology · 2025Article
- In vitro suction comparison of 3 flexible and navigable suction ureteral access sheaths (FANS) of 2 sizes using a 7.5Fr single-use flexible ureteroscope: an AUSET-EAU endourology collaboration.World journal of urology · 2025Article
- Machine learning models to predict the zero-fragment rate and lower pole access with FANS during flexible Ureteroscopy-an EAU section of endourology study.World journal of urology · 2025Article
- [Stones in the lower pole and their treatment].Urologie (Heidelberg, Germany) · 2025Article
- The utility of flexible and navigable suction access sheath (FANS) in patients undergoing same session flexible ureteroscopy for bilateral renal calculi: a global prospective multicenter analysis by EAU endourology.World journal of urology · 2025Article
- Standardizing Suction Ureteral Access Sheath Technique in Retrograde Intrarenal Surgery (RIRS): Tips, Tricks & Troubleshooting.International braz j urol : official journal of the Brazilian Society of UrologyArticle
- Is there a "Best ureteroscope" for flexible ureteroscopy with FANS: an EAU-endourology perspective.Therapeutic advances in urologyArticle
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeUse of suction in flexible ureteroscopy is increasing lately. The introduction of flexible and navigable suction access sheath (FANS) has shown improved stone free rate (SFR). However, its efficacy in lower pole stone (LPS) in terms of SFR and complications is yet to be studied.
methodsWe collected data from 25 centers that included 394 adult patients undergoing ureteroscopy using FANS. Non contrast CT (NCCT) scan was done within first 30 days post operatively to access the SFR. Residual fragments were graded as A: 100% SFR; B: single fragment ≤ 2 mm; C: single fragment 2.1-4 mm; D: Single or multiple fragments > 4 mm. Post operative complications were recorded.
resultsOut of 394 patients, non LPS (group1) comprised of 268 patients, rest 126 patients had LPS (group 2). Single stage zero fragment SFR was seen in 58.6% (group 1) vs. 54.8% (group 2) (P = 0.619). Single stage grade A + B SFR was achieved in 96.6% vs. 98.4% in groups 1 and 2 respectively. On multivariate analysis Thulium fiber laser use was significantly associated with higher odds of being grade A stone-free, while stone volume with lower odds. In LPS group only two patients needed reintervention. The highest grade of complication was Clavien 2, which was seen in 3.2% LPS group.
conclusionUse of flexible and navigable suction ureteric access sheath for lower pole stones is effective and safe. The stone free rate of lower pole stones is comparable to non-lower pole locations with very low reintervention rate in both groups.
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