ReviewCureus2025
Comparative Safety, Effectiveness, and Outcomes of 10/12 Fr Versus 12/14 Fr Ureteral Access Sheaths and the Impact of Suction-Enabled Sheaths in Ureteroscopy.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Research progress on treating urinary system stones using ureteroscopy combined With a negative-pressure suction sheath.Frontiers in surgery · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The choice of ureteral access sheath (UAS) size in flexible ureteroscopy (fURS) is pivotal in balancing endoscopic performance with ureteral safety. Larger sheaths (12/14 Fr) provide superior irrigation flow and intrarenal pressure control but raise concerns regarding ureteral trauma, particularly in unstented ureters. This PRISMA-aligned systematic review (January 2010-August 2025) synthesizes the available evidence comparing 10/12 Fr and 12/14 Fr UAS, both standard and suction-enabled, in terms of pressure modulation, irrigation efficiency, thermal regulation, ureteral injury, stricture formation, and infectious outcomes. Emerging data show that suction-assisted 12/14 Fr sheaths significantly lower rates of postoperative fever and sepsis without increasing ureteral injury when applied judiciously. Pre-stenting remains a key strategy for minimizing insertion-related trauma. The findings highlight an evolving clinical paradigm in UAS selection: shifting from a purely size-based choice to a physiology-driven approach that optimizes safety, visibility, and procedural efficiency.
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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.