The utility of flexible and navigable suction access sheath (FANS) in patients undergoing same session flexible ureteroscopy for bilateral renal calculi: a global prospective multicenter analysis by EAU endourology - Summary - MDSpire

The utility of flexible and navigable suction access sheath (FANS) in patients undergoing same session flexible ureteroscopy for bilateral renal calculi: a global prospective multicenter analysis by EAU endourology

  • By

  • Vineet Gauhar

  • Bhaskar Somani

  • Daniele Castellani

  • Khi Yung Fong

  • Nariman Gadzhiev

  • Satyendra Persaud

  • Saeed Bin Hamri

  • Chu Ann Chai

  • Azimdjon Tursunkulov

  • Yiloren Tanidir

  • Boyke Soebhali

  • Anil Shrestha

  • Deepak Ragoori

  • Mohamed Elshazly

  • Mehmet Ilker Gokce

  • Vigen Malkhasyan

  • Yasser Farahat

  • Thomas Herrmann

  • Olivier Traxer

  • Steffi Kar Kei Yuen

  • February 28, 2025

  • 0 min

Share

Objective:

To assess the 30-day zero residual fragment rate (ZRF) and overall stone-free rate (SFR), along with peri-and postoperative outcomes of flexible ureteroscopy with FANS in adults undergoing same-sitting bilateral retrograde intrarenal surgery (SSB-RIRS).

Key Findings:
  • Overall bilateral 100% stone-free rate (ZRF) achieved in 42.6% of patients.
  • Suction was effective in 98.2% of cases, with high surgeon satisfaction regarding FANS utility.
  • Median operative time was 70 minutes, with laser time averaging 16 minutes.
Interpretation:

The use of FANS in SSB-RIRS demonstrates promising outcomes in terms of stone-free rates and operational efficiency, suggesting it may enhance the management of bilateral kidney stones, with potential implications for clinical practice.

Limitations:
  • Study limited to a specific patient population and may not generalize to all cases of bilateral kidney stones; further research is needed to assess broader applicability.
  • Short follow-up period of 30 days may not capture long-term outcomes or complications, necessitating longer-term studies.
Conclusion:

FANS appears to be a valuable tool in enhancing the effectiveness of same-session bilateral ureteroscopy for renal calculi, with acceptable complication rates and improved stone-free outcomes.

Original Source(s)

The utility of flexible and navigable suction access sheath (FANS) in patients undergoing same session flexible ureteroscopy for bilateral renal calculi: a global prospective multicenter analysis by EAU endourology

  • by Vineet Gauhar, Bhaskar Somani, Daniele Castellani, Khi Yung Fong, Nariman Gadzhiev, Satyendra Persaud, Saeed Bin Hamri, Chu Ann Chai, Azimdjon Tursunkulov, Yiloren Tanidir, Boyke Soebhali, Anil Shrestha, Deepak Ragoori, Mohamed Elshazly, Mehmet Ilker Gokce, Vigen Malkhasyan, Yasser Farahat, Thomas Herrmann, Olivier Traxer, Steffi Kar Kei Yuen

  • February 28, 2025

Related Content

Robot-assisted anterior abdomino-vaginal mesh suspension for stress urinary incontinence associated with anterior compartment pelvic organ prolapse: technique, imaging workflow, and 12-month pilot outcomes

Impact of fluoroscopy technique on radiation time and surgical outcomes in supine percutaneous nephrolithotomy: a propensity score-matched analysis of intermittent versus live fluoroscopy

Robotic vs. open partial cytoreductive nephrectomy in metastatic renal cell carcinoma: adverse in-hospital outcomes