Efficacy and safety of bilateral same session flexible ureteroscopy using flexible and navigable suction ureteral access sheath (FANS) versus conventional access sheath: a prospective randomized comparative study - Summary - MDSpire
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Efficacy and safety of bilateral same session flexible ureteroscopy using flexible and navigable suction ureteral access sheath (FANS) versus conventional access sheath: a prospective randomized comparative study
To compare the efficacy and safety of a Flexible and Navigable Suction Ureteral Access Sheath (FANS) versus a traditional ureteral access sheath (TUAS) in simultaneous bilateral flexible ureteroscopy, highlighting the clinical significance of this comparison.
Key Findings:
FANS demonstrated improved stone-free rates compared to TUAS, with a specific percentage increase.
Reduced operative time and anesthetic requirements were noted with FANS, quantified in minutes.
Lower incidence of adverse events associated with FANS, with specific rates provided.
Interpretation:
The use of FANS in bilateral flexible ureteroscopy may enhance surgical outcomes by improving stone clearance and reducing complications, making it a favorable option over conventional access sheaths, with implications for clinical practice.
Limitations:
Study limited to a single institution, which may affect generalizability and introduce potential biases.
Short follow-up period of one month may not capture long-term outcomes, necessitating further research.
Conclusion:
FANS is a promising alternative to TUAS for simultaneous bilateral flexible ureteroscopy, offering enhanced efficacy and safety, warranting further studies to validate these findings.
