Controversies in ureteroscopy: Wire, basket, and sheath

Area of Science:

• Urology
• Endourology

Background:

• Flexible ureteroscopy (FURS) has become a cornerstone in treating urologic stone disease over the past two decades.
• Advancements in FURS technology have led to the development of ancillary instruments like ureteral access sheaths (UAS), wires, and baskets.

Purpose of the Study:

• To provide a historical overview of flexible ureteroscopy.
• To discuss the expanded indications for FURS.
• To explore the ongoing controversy regarding the use of ancillary instruments in FURS.

Main Methods:

• This is a review article.
• It synthesizes information on the history and evolution of flexible ureteroscopy.
• It analyzes the current literature regarding the use of ureteral access sheaths, wires, and baskets.

Main Results:

• Flexible ureteroscopy's role in urologic stone management has significantly expanded.
• Ancillary instruments such as UAS, wires, and baskets have been developed to aid FURS procedures.
• The necessity of these adjuncts, alongside improved surgeon skill, is a subject of ongoing discussion.

Conclusions:

• The evolution of flexible ureteroscopy has been marked by technological advancements and expanded clinical applications.
• The optimal use of ancillary instruments in FURS remains a topic of debate within the urologic community.
• Further research may clarify the definitive role of UAS, wires, and baskets in FURS procedures.