Efficacy and safety of flexible and navigable suction ureteral access sheath combined with flexible ureteroscopic lithotripsy versus flexible ureteroscopic lithotripsy alone for infected upper urinary tract stones: a retrospective cohort study - Summary - MDSpire
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Efficacy and safety of flexible and navigable suction ureteral access sheath combined with flexible ureteroscopic lithotripsy versus flexible ureteroscopic lithotripsy alone for infected upper urinary tract stones: a retrospective cohort study
To compare the perioperative clinical data of patients with upper urinary tract infective stones treated with flexible ureteroscopic lithotripsy (FURL) alone versus FURL combined with a flexible navigable suction ureteral access sheath (FANS-UAS), highlighting the clinical significance of this comparison.
Key Findings:
FURL combined with FANS-UAS showed improved stone clearance rates compared to FURL alone, suggesting enhanced efficacy in treatment.
The use of FANS-UAS reduced intrarenal pelvic pressure during the procedure, which may lead to better patient outcomes.
Patients treated with FANS-UAS experienced fewer complications related to stone removal, indicating a safer approach.
Interpretation:
The combination of FURL with FANS-UAS may enhance the effectiveness and safety of treating infected upper urinary tract stones, potentially leading to better patient outcomes and influencing clinical practice.
Limitations:
The study is retrospective and may be subject to selection bias, particularly in patient group allocation.
The sample size is relatively small, which may limit the generalizability of the findings and the robustness of conclusions drawn.
Conclusion:
FURL combined with FANS-UAS represents a promising approach for managing infected upper urinary tract stones, warranting further prospective studies to validate these findings and explore specific areas for future research.
