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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Optimizing Flexible Ureteroscopic Surgery for Renal Stones Using Bendable Access Sheath and Suction: An Institutional Experience

Mudem Saikumar Reddy, J. Sasi Kumar, C.H. Vamseedhar Reddy, Y. Anil Reddy and G. Janardhan
Page: 195-200 | Received 15 Aug 2024, Published online: 17 Oct 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.11.195.200

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Abstract

This prospective study examines the efficacy and safety of flexible ureteroscopic surgery (fURS) for renal stones, employing a novel bendable ureteral access sheath with integrated suction. Conducted between February and August 2024 at Mamata Hospital, Khammam, the study enrolled 50 patients, consisting of 34 males and 16 females with a median age of 48 years. Prior to surgery, all patients underwent diagnostic CT imaging and had double‐J stents placed two weeks before the procedure. The surgeries were performed using a 10/12 F bendable ureteral access sheath designed to improve access and facilitate stone removal. Key findings reveal a remarkable stone‐free rate of 94% at 3 weeks post‐surgery, underscoring the effectiveness of the bendable sheath with suction in enhancing surgical outcomes. The study also highlights the importance of technological advancements in fURS, which contributed to reduced complications and improved surgical efficiency. However, the research acknowledges challenges such as the need for further refinement of the flexible access sheath and limitations in current suction models. These limitations suggest that while the technology is promising, it is not without its areas for improvement. In conclusion, this study supports the integration of bendable access sheaths with suction as a valuable innovation in renal stone management, offering the potential to set new standards in achieving high stone‐free rates with minimal complications. These findings have significant clinical implications, suggesting that continued innovation in fURS technology could lead to improved patient outcomes and a reduction in the need for reintervention.

How to cite this article:

Mudem Saikumar Reddy, J. Sasi Kumar, C.H. Vamseedhar Reddy, Y. Anil Reddy and G. Janardhan. Optimizing Flexible Ureteroscopic Surgery for Renal Stones Using Bendable Access Sheath and Suction: An Institutional Experience.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.11.195.200
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.11.195.200