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Review
. 2022 Jan-Mar;14(1):1-7.
doi: 10.4103/UA.UA_163_20. Epub 2022 Jan 20.

Does ureteral access sheath have an impact on ureteral injury?

Mehmet Kazim Asutay  1   2 , Marco Lattarulo  2   3 , Despoina Liourdi  2   4 , Abdulrahman Mohamed Al-Aown  5 , Konstantinos Pagonis  2 , Noor Nedal  2   6 , Amelia Pietropaolo  7   8 , Esteban Emiliani  8   9 , Evangelos Liatsikos  2 , Panagiotis Kallidonis  2   8
Affiliations
Review

Does ureteral access sheath have an impact on ureteral injury?

Mehmet Kazim Asutay et al. Urol Ann. 2022 Jan-Mar.

Abstract

Objective: To present a well-organized review about ureteral access sheath impact on ureteral injury.

Materials and methods: Systemic search on literature was done. Total of 3766 studies observed by two urologists and results were unified. A Prisma diagram was used for eliminating irrelevant studies and at the end of elimination process 28 studies were found eligible for this review.

Results: Not only clinical studies but also comparative experimental animal studies show that there is no significant data to claim that ureteral access sheath insertion causes more ureteral injury. Pre-stented patients were found to be at lower risk for ureteral injury. Risk of progression to ureteral injury seems to be low even if ureteral injury occurs with insertion of ureteral access sheath.

Conclusion: Summary of studies' results indicate that use of ureteral access sheath doesn't increase ureteral injury. This review may help understanding safety profile of ureteral access sheath on evidence-based level. There is not enough data to make a statement that ureteral access sheath prevents ureteral injury.

Keywords: Retrograde intrarenal surgery; ureteral access sheath; ureteral injury; ureteral stricture; ureteroscopy.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
PRISMA Diagram used in literature review
See this image and copyright information in PMC

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