To sheath or not to sheath in flexible ureteroscopy: A randomized controlled trial.

IF 1.2 Q3 UROLOGY & NEPHROLOGY

Arab Journal of Urology Pub Date : 2025-03-19 eCollection Date: 2025-01-01 DOI:10.1080/20905998.2025.2480540

A M Tawfeek, Mohamed Mostafa Elsayed Osman, M Sherif Mourad, Mohammed Metwally Sadeq

{"title":"To sheath or not to sheath in flexible ureteroscopy: A randomized controlled trial.","authors":"A M Tawfeek, Mohamed Mostafa Elsayed Osman, M Sherif Mourad, Mohammed Metwally Sadeq","doi":"10.1080/20905998.2025.2480540","DOIUrl":null,"url":null,"abstract":"Objective: To assess the effect of employing UAS compared to not using UAS in FURS concerning stone-free rate, operative duration, and intraoperative and postoperative complications.Methods: A total of 120 patients presenting with symptomatic upper ureteric and renal stones were recruited and allocated into two equal groups. Group A underwent flexible ureteroscopy (FURS) without using ureteral access sheaths (UAS), while Group B underwent FURS with UAS.Results: There were no statistically significant differences among the groups for the Stone-free rate, operative duration, length of hospital stay, and postoperative pain, with p-values of 0.543, 0.122, 0.639, and 0.083, respectively. However, group A experienced a significantly higher occurrence of postoperative complications, affecting 14 patients (23.3%), compared to five patients (8.3%) in group B, with a p-value of less than 0.05. These complications mainly presented as postoperative fever and urosepsis.Conclusion: Utilizing UAS alongside Flexible ureteroscopy had no impact on stone-free rate, operative time, hospital stay, or intraoperative complications. However, it notably lowered postoperative infective complications.","PeriodicalId":8113,"journal":{"name":"Arab Journal of Urology","volume":"23 4","pages":"324-329"},"PeriodicalIF":1.2000,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12493598/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arab Journal of Urology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/20905998.2025.2480540","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To assess the effect of employing UAS compared to not using UAS in FURS concerning stone-free rate, operative duration, and intraoperative and postoperative complications.

Methods: A total of 120 patients presenting with symptomatic upper ureteric and renal stones were recruited and allocated into two equal groups. Group A underwent flexible ureteroscopy (FURS) without using ureteral access sheaths (UAS), while Group B underwent FURS with UAS.

Results: There were no statistically significant differences among the groups for the Stone-free rate, operative duration, length of hospital stay, and postoperative pain, with p-values of 0.543, 0.122, 0.639, and 0.083, respectively. However, group A experienced a significantly higher occurrence of postoperative complications, affecting 14 patients (23.3%), compared to five patients (8.3%) in group B, with a p-value of less than 0.05. These complications mainly presented as postoperative fever and urosepsis.

Conclusion: Utilizing UAS alongside Flexible ureteroscopy had no impact on stone-free rate, operative time, hospital stay, or intraoperative complications. However, it notably lowered postoperative infective complications.

查看原文本刊更多论文

输尿管软镜中鞘或不鞘：一项随机对照试验。

目的：评价在FURS手术中使用UAS与不使用UAS在结石清除率、手术时间、术中及术后并发症方面的效果。方法：选取120例有症状的输尿管上段结石和肾结石患者，随机分为两组。A组行输尿管柔性镜检查（FURS），不使用输尿管通路鞘（UAS）； B组行输尿管柔性镜检查（FURS），不使用输尿管通路鞘（UAS）。结果：组间Stone-free率、手术时间、住院时间、术后疼痛差异无统计学意义，p值分别为0.543、0.122、0.639、0.083。但A组术后并发症发生率明显高于B组，14例（23.3%），B组5例（8.3%），p值均小于0.05。这些并发症主要表现为术后发热和尿脓毒症。结论：UAS联合输尿管软镜检查对结石清除率、手术时间、住院时间及术中并发症无影响。然而，它明显降低了术后感染并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Arab Journal of Urology UROLOGY & NEPHROLOGY-

CiteScore

2.80

自引率

0.00%

发文量

期刊介绍： The Arab Journal of Urology is a peer-reviewed journal that strives to provide a high standard of research and clinical material to the widest possible urological community worldwide. The journal encompasses all aspects of urology including: urological oncology, urological reconstructive surgery, urodynamics, female urology, pediatric urology, endourology, transplantation, erectile dysfunction, and urinary infections and inflammations. The journal provides reviews, original articles, editorials, surgical techniques, cases reports and correspondence. Urologists, oncologists, pathologists, radiologists and scientists are invited to submit their contributions to make the Arab Journal of Urology a viable international forum for the practical, timely and state-of-the-art clinical urology and basic urological research.