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

Pissaia, Tamires Battistini; Belkovsky, Mikhael; Passerotti, Carlo Camargo; Artifon, Everton Luiz de Almeida; Otoch, Jose Pinhata; Cruz, José Arnaldo Shiomi da

doi:10.1590/acb387423

Tamires Battistini Pissaia

Acquisition of data

Analysis and interpretation of data

Manuscript preparation

Manuscript writing

Universidade Nove de Julho – Urology Department – São Paulo (SP) – Brazil.

http://orcid.org/0009-0009-9289-1835

Mikhael Belkovsky

Conception and design

Acquisition of data

Analysis and interpretation of data

Manuscript preparation

Manuscript writing

Universidade de São Paulo – Medical School – Surgical Technique Department – São Paulo (SP) – Brazil

http://orcid.org/0000-0002-6599-7548

Carlo Camargo Passerotti

Substantive scientific and intellectual contributions to the study

Analysis and interpretation of data

Manuscript preparation

Hospital Alemão Oswaldo Cruz – Prostate Institute – Urology Department – São Paulo (SP) – Brazil.

http://orcid.org/0000-0003-3023-6797

Everton Luiz de Almeida Artifon

Substantive scientific and intellectual contributions to the study

Analysis and interpretation of data

Manuscript preparation

Universidade de São Paulo – Medical School – Surgical Technique Department – São Paulo (SP) – Brazil

http://orcid.org/0000-0003-1900-8777

Jose Pinhata Otoch

Substantive scientific and intellectual contributions to the study

Analysis and interpretation of data

Manuscript preparation

Universidade de São Paulo – Medical School – Surgical Technique Department – São Paulo (SP) – Brazil

http://orcid.org/0000-0002-8293-1508

José Arnaldo Shiomi da Cruz ^*Corresponding author: arnaldoshiomi@yahoo.com.br

Conception and design

Acquisition of data

Analysis and interpretation of data

Manuscript preparation

Critical revision

Universidade Nove de Julho – Urology Department – São Paulo (SP) – Brazil.

Universidade de São Paulo – Medical School – Surgical Technique Department – São Paulo (SP) – Brazil

Hospital Alemão Oswaldo Cruz – Prostate Institute – Urology Department – São Paulo (SP) – Brazil.

http://orcid.org/0000-0003-4203-3196

Corresponding author: arnaldoshiomi@yahoo.com.br

Conflict of interest

Nothing to declare.

About the authors

Pissaia TB is medical student.

Belkovsky M is MD.

Passerotti CC, Artifon ELA, Otoch JP and Cruz JAS are PhDs.

Authors	Design	Groups (French)	Patients	Male (%)	Mean Age (years)	Operative time (min): G1/G2	Calculation size: G1/G2	Complications (%): G1/G2	Follow-up time (months)
Breen 2021¹⁰10 Breen K, Driscoll C, Khambati A, Perry K, Nadler RB. Management of nephrolithiasis with a large ureteral access sheath is not associated with increased risk of surgical complications and stricture formation ON long term follow up. J Endourol. 2021;35(Suppl.1):A102.^§ § Conference abstracts;	NRCT	G1:10-14 G2:14/16	355	50.7	55^† † median;	NA	NA	6/4	68
Rodrigues and Einser¹1 Rodrigues JECM, Eisner B. Ureteral stricture formation after use of ureteral access sheath-4 year follow-up data. J Urol. 2019;201(4):e255.^§ § Conference abstracts;	NRCT	5 groups	157	56.0	61	NA	NA	NA	12
Delvecchio et al.³3 Delvecchio FC, Auge BK, Brizuela RM, Weizer AZ, Silverstein AD, Lallas CD, Pietrow PK, Albala DM, Preminger GM. Assessment of stricture formation with the ureteral access sheath. Urology. 2003;61(3):518–22. https://doi.org/10.1016/S0090-4295(02)02433-0 https://doi.org/10.1016/S0090-4295(02)02... ^§ § Conference abstracts;	NRCT	G1:10/12 G2:12/14 G3:14/16	71	60.5	45	NA	NA	NA	3
Shvero et al.⁴4 Shvero A, Herzberg H, Zilberman D, Mor Y, Winkler H, Kleinmann N. Is it safe to use a ureteral access sheath in an unstented ureter? BMC Urol. 2019;19(1):80. https://doi.org/10.1186/s12894-019-0509-x https://doi.org/10.1186/s12894-019-0509-...	NRCT	G1:9,5/11,5 G2:12/14	165	62.4	56	39/61	23/34	11/12	4
Aykanat et al.⁵5 Aykanat C, Balci M, Senel C, Ozercan AY, Coser S, Aslan Y, Guzel O, Asfuroglu A, Karabulut E, Tuncel A. The Impact of Ureteral Access Sheath Size on Perioperative Parameters and Postoperative Ureteral Stricture in Retrograde Intrarenal Surgery. J Endourol. 2022;36(8):1013–17. https://doi.org/10.1089/end.2021.0751 https://doi.org/10.1089/end.2021.0751...	RCT	G1:9,5/11,5 G2:12/14	320	55.9	48	54/53	16/15	5/12	12
Tracy et al.⁷7 Tracy CR, Ghareeb GM, Paul CJ, Brooks NA. Increasing the size of ureteral access sheath during retrograde intrarenal surgery improves surgical efficiency without increasing complications. World J Urol. 2018;36(6):971–8. https://doi.org/10.1007/s00345-018-2204-z https://doi.org/10.1007/s00345-018-2204-...	NRCT	G1:12/14 G2:14/16	168	41.3	54	72/63	102/146	11/11	1,5
Jordan et al.⁸8 Jordan B, Yoo SG, Khambati A, Perry K, Nadler R. MP68-02 ureteral stricture rates associated with ureteral access sheath use for retrograde renal stone surgery. J Urol. 2017;197(4S):e918–9. https://doi.org/10.1016/j.juro.2017.02.2318 https://doi.org/10.1016/j.juro.2017.02.2... ^§ § Conference abstracts;	NRCT	G1:12/14 G2:14/16	237	55.3	54	NA	NA	NA	12

	Confounding	Selection	Classification	Deviations	Missing data	Measurement	Reported results	Overall
Rodrigues and Einser¹1 Rodrigues JECM, Eisner B. Ureteral stricture formation after use of ureteral access sheath-4 year follow-up data. J Urol. 2019;201(4):e255.	Serious	Moderate	Low	Low	Serious	Low	Moderate	Serious
Delvecchio et al.³3 Delvecchio FC, Auge BK, Brizuela RM, Weizer AZ, Silverstein AD, Lallas CD, Pietrow PK, Albala DM, Preminger GM. Assessment of stricture formation with the ureteral access sheath. Urology. 2003;61(3):518–22. https://doi.org/10.1016/S0090-4295(02)02433-0 https://doi.org/10.1016/S0090-4295(02)02...	Serious	Serious	Low	Low	No information	Low	Moderate	Serious
Shvero et al.⁴4 Shvero A, Herzberg H, Zilberman D, Mor Y, Winkler H, Kleinmann N. Is it safe to use a ureteral access sheath in an unstented ureter? BMC Urol. 2019;19(1):80. https://doi.org/10.1186/s12894-019-0509-x https://doi.org/10.1186/s12894-019-0509-...	Moderate	Moderate	Low	Low	Moderate	Low	Low	Moderate
Tracy et al.⁷7 Tracy CR, Ghareeb GM, Paul CJ, Brooks NA. Increasing the size of ureteral access sheath during retrograde intrarenal surgery improves surgical efficiency without increasing complications. World J Urol. 2018;36(6):971–8. https://doi.org/10.1007/s00345-018-2204-z https://doi.org/10.1007/s00345-018-2204-...	Moderate	Moderate	Low	Low	Moderate	Low	Low	Moderate
Jordan et al.⁸8 Jordan B, Yoo SG, Khambati A, Perry K, Nadler R. MP68-02 ureteral stricture rates associated with ureteral access sheath use for retrograde renal stone surgery. J Urol. 2017;197(4S):e918–9. https://doi.org/10.1016/j.juro.2017.02.2318 https://doi.org/10.1016/j.juro.2017.02.2...	Critical	Serious	Low	Low	Serious	Low	Moderate	Critical
Breen 2021¹⁰10 Breen K, Driscoll C, Khambati A, Perry K, Nadler RB. Management of nephrolithiasis with a large ureteral access sheath is not associated with increased risk of surgical complications and stricture formation ON long term follow up. J Endourol. 2021;35(Suppl.1):A102.	Serious	Serious	Low	Low	No information	Low	Moderate	Serious

[1] Corresponding author: arnaldoshiomi@yahoo.com.br

Brasil

Brasil

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

ABSTRACT

Purpose:

Methods:

Results:

Conclusions: