Efficacy and Safety of Same-Day Flexible Ureteroscopic Lithotripsy: Comparative Study of Navigable Suction versus Conventional Ureteral Access Sheaths

• Yibo Hua ^[2] ; Shu Liu ^[1] ; Jitao Ma ^[3] ; Haijun Gu ^[1] ; Rijin Song ^[2] ; Xianghu Meng ^[2]
  1. [1] Nanjing Medical University

     Nanjing Medical University

     China

     
  2. [2] Department of Urology, First Affiliated Hospital with Nanjing Medical University, 210029 Nanjing, Jiangsu, China
  3. [3] Department of Urology, Nanjing Pukou People’s Hospital, 211800 Nanjing, Jiangsu, China

  Mostrar afiliaciones +
• Localización: Archivos españoles de urología, ISSN 0004-0614, Tomo 78, Nº. 8, 2025, págs. 1064-1071
• Idioma: inglés
• Enlaces
  • Texto completo
• Resumen

  • Purpose: This study aimed to assess the efficacy and safety of same-day flexible ureteroscopic lithotripsy (FURL) and compare clinical outcomes between different ureteral access sheaths.

    Methods: A retrospective review was conducted on 182 patients who underwent FURL at our day surgery centre between March and December 2024. The patients were grouped according to the type of ureteral access sheath used: Suction group (navigable suction sheath) and convention group (conventional ureteral sheath). Perioperative outcomes, including operative time, stone-free rate, postoperative parameters and accessory device usage, were compared between the groups.

    Results: All the patients successfully completed FURL and were discharged on the same day. The mean stone size was 13.93 ± 6.49 mm, and the mean operative time was 36.70 ± 15.69 min. The overall stone-free rate was 89.56% (163/182). The average postoperative haemoglobin drop was 12.17 ± 7.40 g/L, with a mean procalcitonin level of 0.04 ± 0.02 ng/mL. The pain score prior to discharge was 0.39 ± 0.76, and the mean length of stay was 10.41 ± 2.10 h. The suction group demonstrated significantly reduced use of stone retrieval baskets compared with the convention group. No significant differences in operative time or complication rates were observed.

    Conclusions: Same-day FURL is safe and effective in appropriately selected patients. The navigable suction ureteral access sheath offers a clinically advantageous alternative by reducing accessory device use without compromising surgical outcomes.