{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:48:52Z","timestamp":1747198132612,"version":"3.40.5"},"reference-count":48,"publisher":"Walter de Gruyter GmbH","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jbcpp-2024-0142_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To evaluate the use of ureteral access sheaths (UAS) in reducing operative time and complications, as well as improving stone-free rates (SFR), while assessing their overall safety and efficiency.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jbcpp-2024-0142_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data regarding 234 patients who underwent retrograde intrarenal surgery (RIRS) for stones up to 3\u202fcm between January 2017 and March 2020 were retrospectively analyzed. About 52.5\u202f% of procedures were performed utilizing a UAS. Differences in operative time, fluoroscopy time, stone-free rate, and complications were analyzed between procedures with and without UAS and stratified, according to stone burden size, into three groups (Group A: 0.5\u20131\u202fcm; Group B: 1\u20132\u202fcm; Group C: 2\u20133\u202fcm).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jbcpp-2024-0142_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Operative time, fluoroscopy time, and residual fragments size were lower in RIRS without UAS, respectively, 54.27\u00a0\u00b1\u00a024.02 vs. 62.23\u00a0\u00b1\u00a022.66\u202fmin (p=0.010), 2.72\u00a0\u00b1\u00a00.89 vs. 4.44\u00a0\u00b1\u00a01.67\u202fmin (p&lt;0.0001), and 3.85\u00a0\u00b1\u00a00.813 vs. 4.60\u00a0\u00b1\u00a00.83\u202fmm (p=0.011). Considering stone burden, operative time was lower in RIRS without UAS for Group A (36.40\u00a0\u00b1\u00a08.555 vs. 46.05\u00a0\u00b1\u00a06.332\u202fmin) (p&lt;0.0001) while higher for Group B (60.39\u00a0\u00b1\u00a018.785 vs. 50.14\u00a0\u00b1\u00a05.812\u202fmin) (p=0.002). Similarly, fluoroscopy time was lower in RIRS without UAS in every group, respectively, 2.11\u00a0\u00b1\u00a00.34 vs. 2.74\u00a0\u00b1\u00a00.57\u202fmin (p&lt;0.0001), 2.94\u00a0\u00b1\u00a00.51 vs. 4.72\u00a0\u00b1\u00a00.37\u202fmin (p&lt;0.0001), and 3.78\u00a0\u00b1\u00a01.26 vs. 6.79\u00a0\u00b1\u00a01.17\u202fmin (p&lt;0.0001). Only Group C had a statistically significant difference in residual fragment size without UAS\u00a0(3.89\u00a0\u00b1\u00a00.782 vs. 4.75\u00a0\u00b1\u00a00.886\u202fmm) (p=0.050).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jbcpp-2024-0142_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>UAS should be carefully evaluated considering the increased fluoroscopy time and the differences in operative time related to different stone burdens.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jbcpp-2024-0142","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T12:10:46Z","timestamp":1726747846000},"source":"Crossref","is-referenced-by-count":0,"title":["Ureteral access sheaths in RIRS: a retrospective, comparative, single-center study"],"prefix":"10.1515","author":[{"given":"Giuseppe","family":"Celentano","sequence":"first","affiliation":[{"name":"Department of Neurosciences and Reproductive Sciences and Odontostomatology , University of Naples Federico II Naples , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4884-132X","authenticated-orcid":false,"given":"Biagio","family":"Barone","sequence":"additional","affiliation":[{"name":"Department of Urology , 196152 Ospedale San Paolo, ASL NA1 Centro Naples , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"La Rocca","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Reproductive Sciences and Odontostomatology , University of Naples Federico II Naples , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Massanova","sequence":"additional","affiliation":[{"name":"Urology Department , Southend-On-Sea University Hospital , Southend-On-Sea , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Napolitano","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Reproductive Sciences and Odontostomatology , University of Naples Federico II Naples , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico","family":"Prezioso","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Reproductive Sciences and Odontostomatology , University of Naples Federico II Naples , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Abate","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Reproductive Sciences and Odontostomatology , University of Naples Federico II Naples , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benito Fabio","family":"Mirto","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Reproductive Sciences and Odontostomatology , University of Naples Federico II Naples , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferdinando","family":"Fusco","sequence":"additional","affiliation":[{"name":"Urology Unit, Department of Woman, Child and General and Specialized Surgery , University of Campania \u2018Luigi Vanvitelli\u2019 Naples , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felice","family":"Crocetto","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Reproductive Sciences and Odontostomatology , University of Naples Federico II Naples , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2024,9,20]]},"reference":[{"key":"2024091912103953951_j_jbcpp-2024-0142_ref_001","doi-asserted-by":"crossref","unstructured":"Barone, B, Crocetto, F, Vitale, R, Di Domenico, D, Caputo, V, Romano, F, et al.. 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Prospective evaluation and classification of ureteral wall injuries resulting from insertion of a ureteral access sheath during retrograde intrarenal surgery. J Urol 2013;189:580\u20134. https:\/\/doi.org\/10.1016\/j.juro.2012.08.197.","DOI":"10.1016\/j.juro.2012.08.197"},{"key":"2024091912103953951_j_jbcpp-2024-0142_ref_014","doi-asserted-by":"crossref","unstructured":"Kaplan, AG, Lipkin, ME, Scales, CDJr., Preminger, GM. Use of ureteral access sheaths in ureteroscopy. Nat Rev Urol 2016;13:135\u201340. https:\/\/doi.org\/10.1038\/nrurol.2015.271.","DOI":"10.1038\/nrurol.2015.271"},{"key":"2024091912103953951_j_jbcpp-2024-0142_ref_015","doi-asserted-by":"crossref","unstructured":"De Coninck, V, Keller, EX, Somani, B, Giusti, G, Proietti, S, Rodriguez-Socarras, M, et al.. Complications of ureteroscopy: a complete overview. 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