A M Tawfeek, Mohamed Mostafa Elsayed Osman, M Sherif Mourad, Mohammed Metwally Sadeq
{"title":"输尿管软镜中鞘或不鞘：一项随机对照试验。","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":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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":"{\"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\":\"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"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}","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}
To sheath or not to sheath in flexible ureteroscopy: A randomized controlled trial.
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.
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.
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