Diameter of ureteral access sheath and ureteral stenosis development: a systematic review

被引：0

作者：

Pissaia, Tamires Battistini ^{[1
]}

Belkovsky, Mikhael ^{[2
]}

Passerotti, Carlo Camargo ^{[3
]}

Artifon, Everton Luiz de Almeida ^{[2
]}

Otoch, Jose Pinhata ^{[2
]}

da Cruz, Jose Arnaldo Shiomi ^{[1
,2
,3
]}

机构：

[1] Univ Nove Julho, Urol Dept, Sao Paulo, SP, Brazil

[2] Univ Sao Paulo, Med Sch, Surg Tech Dept, Sao Paulo, SP, Brazil

[3] Hosp Alemao Oswaldo Cruz, Prostate Inst, Urol Dept, Sao Paulo, SP, Brazil

来源：

ACTA CIRURGICA BRASILEIRA | 2023年 / 38卷

关键词：

Constriction; Ureteral Calculi; Ureteroscopy;

D O I：

10.1590/acb387423

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose: Ureteral access sheaths (UAS) are widely used in ureteroscopy. UAS are believed to pose a significant risk for ureteral stenosis due to ureteral mucosal compression, but little evidence supports this claim. Our systematic review aimed to investigate the relationship between different UAS diameters and stenosis risk. Methods: A systematic search was conducted in PubMed, Embase, Web of Science, Scopus, and Cochrane, from its inception to May 2023. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Cochrane guidelines were followed. chi 2 test was performed to compare the prevalence within the groups. Results: Six nonrandomized trials and one randomized, with a total of 962 patients, were included. The overall incidence of ureteral stenosis of 0.9%. UAS sizes were: 9.5/11.5Fr, 10/12Fr, 11/13Fr, 12/14Fr, and 14/16Fr. Within each subgroup, the incidence of ureteral stenosis was: 0.4, 8, 0, 1, and 1% (p = 0.099). No trend for stenosis was observed among larger UAS. Conclusion: In this systematic review, no relationship between UAS diameter and incidence of ureteral stenosis was observed. Nonetheless, additional randomized controlled trials are required to support this finding.

引用

页数：6

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