Diameter of ureteral access sheath and ureteral stenosis development: a systematic review
Acta cir. bras
;
38: e387423, 2023. tab, graf, ilus
Artigo
em Inglês
| LILACS, VETINDEX
| ID: biblio-1519875
ABSTRACT
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. χ2 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.Conclusions:
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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Estreitamento Uretral
/
Cálculos Ureterais
/
Ureteroscopia
/
Revisão Sistemática
Tipo de estudo:
Revisões Sistemáticas Avaliadas
Idioma:
Inglês
Revista:
Acta cir. bras
Assunto da revista:
Cirurgia Geral
/
Procedimentos Cir£rgicos Operat¢rios
Ano de publicação:
2023
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Hospital Alemão Oswaldo Cruz/BR
/
Universidade Nove de Julho/BR
/
Universidade de São Paulo/BR
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