Does ureteral access sheath have an impact on ureteral injury?
Asutay, M.K. (Department of Urology. University of Patras)
Lattarulo, M. (Department of Urology. Asst Spedali Civili di Brescia. Med. and Surg. Specialties. Radiological Sciences. and Public Health. University of Brescia)
Liourdi, D. (Andreas General Hospital)
Al-Aown, A.M. (Department of Urology. Armed Forces Hospital Southern Region)
Pagonis, K. (Department of Urology. University of Patras)
Nedal, N. (Department of Urology. Umm Al-Qura University)
Pietropaolo, Amelia (Department of Urology. University Hospital Southampton Nhs Foundation Trust)
Emiliani, Esteban (Institut d'Investigació Biomèdica Sant Pau)
Liatsikos, E. (Department of Urology. University of Patras)
Kallidonis, P. (Young Academic Urologists-Endourology and Lithiasis Working Group. European Association of Urology)

Data:	2022
Resum:	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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra, i la creació d'obres derivades, sempre que no sigui amb finalitats comercials i que es distribueixin sota la mateixa llicència que regula l'obra original. Cal que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Retrograde intrarenal surgery ; Ureteral access sheath ; Ureteral injury ; Ureteral stricture ; Ureteroscopy
Publicat a:	Urology Annals, Vol. 14 Núm. 1 (January-March 2022) , p. 1-7, ISSN 0974-7834

DOI: 10.4103/UA.UA_163_20
PMID: 35197695

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