Open AccessControversies associated with ureteral access sheath placement during ureteroscopy
Author(s) -
Victor K. Wong,
Khatereh Aminoltejari,
Khaled Almutairi,
Dirk Lange,
Ben H. Chew
Publication year - 2020
Publication title -
investigative and clinical urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.653
H-Index - 14
eISSN - 2466-054X
pISSN - 2466-0493
DOI - 10.4111/icu.20200278
Subject(s) - ureteroscopy , medicine , ureteroscope , urology , surgery , ureter
The use of ureteral access sheaths (UAS) is common practice during routine flexible ureteroscopy procedures. However, debates and concerns continue amongst endourologists on routine UAS placement. UAS placement allows for multiple passages of the ureteroscope, decreases intrarenal pressure, and may improve stone-free rates. However, concerns for the UAS's effectiveness in these claimed benefits and complications related to UAS placement has been documented and investigated by many. In this review, we will discuss the controversies surrounding the placement of UAS during ureteroscopy.