SynthesisBMC urology2025
Enhanced stone-free rates with suctioning ureteral access sheath vs. traditional sheath in retrograde intrarenal surgery: a systematic review and meta-analysis.
Synthesis in BMC urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Safety and efficacy of a flexible and navigable suction ureteral access sheath vs. a conventional intelligent pressure-control sheath in retrograde intrarenal surgery for infection-related renal calculi.International urology and nephrology · 2026Trial
- An Updated Systematic Review, Meta-analysis, and Trial Sequential Analysis of Endoscopic Combined Intrarenal Surgery (ECIRS) versus Percutaneous Nephrolithotomy (PCNL) for Upper Urinary Tract Calculi.European urology open science · 2026Review
- Article
- Outpatient versus inpatient flexible ureteroscopy with flexible and navigable suction access sheath: A multicenter comparative analysis of perioperative outcomes from the flexible and navigable access sheath collaborative study group.Asian journal of urology · 2026Article
- The impact of preoperative CT-based 3D visualization model on ureteric access sheath placement failure without pre-stenting.BMC urology · 2026Article
- Patient satisfaction and scope size of flexible ureteroscopy for upper urinary stones: A comparative study, multivariate analysis and subjective and objective evaluations.BJUI compass · 2026Article
- The usage of ureteral catheter outside of the ureteral access sheath to facilitate stone passage through the UAS during RIRS: A case report.Urology case reports · 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
- Suction, flexion, and noise profile of three flexible and navigable suction ureteral access sheaths: a benchtop comparison.World journal of urology · 2026Article
- Suction Ureteral Access Sheaths During Flexible Ureteroscopy for Renal Stones: A Prospective Study and Cost Analysis.Cureus · 2025Article
- Article
- Does the use of a ureteral access sheath improve perioperative outcomes in ureteroscopy? A real-world multi-institutional study.Urolithiasis · 2025Article
- Comparative efficacy and safety of flexible and navigable suction sheath versus non-flexible suctioning ureteral access sheath in retrograde intrarenal surgery for renal stones: a propensity score-matched retrospective cohort study.World journal of urology · 2025Article
- Effective management of large renal stones using retrograde intrarenal surgery with combined direct in-scope suction and flexible and navigable ureteral access sheath: a case report.Frontiers in urology · 2025Article
- Is there a "Best ureteroscope" for flexible ureteroscopy with FANS: an EAU-endourology perspective.Therapeutic advances in urologyArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs a safe approach to the upper urinary tract, flexible ureteroscopic lithotripsy (fURL) is a widely accepted treatment for nephrolithiasis. Sometimes, this technique can rely on the natural expulsion of stones, increasing the risk of infections and stone recurrence. To mitigate these issues, some studies tried to use a suctioning ureteral access sheath (S-UAS).
methodsA systematic review was conducted across multiple databases for trials comparing S-UAS with traditional (T-UAS) in retrograde intrarenal surgery (RIRS). The primary endpoint was the stone-free rate (SFR), while adverse effects, operative time, fever rate, and hospital stay were analyzed as secondary outcomes.
resultsWe retrieved 8 articles, encompassing a total of 2,255 patients, with 978 in the S-UAS group and 1,247 in the T-UAS group. Our analysis revealed a higher SFR in the S-UAS group after 1 day, and also at later time points (one or three months) (OR 3.79; 95% CI 1.70-8.46; p = 0.001; I
conclusionOur study suggests that using S-UAS in RIRS may enhance the SFR, and also reduce both complications and hospital stay.
trial registrationThis systematic-review and meta-analysis was prospectively registered on PROSPERO under protocol CRD42024543084.
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