ORIGINAL RESEARCH article
Front. Surg.
Sec. Genitourinary Surgery and Interventions
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1520011
Sotn ureteroscope system with vacuum suctioning device for treating complicated steinstrasse: a case series
Provisionally accepted
- 1Department of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, China
- 2First Clinical Medical College, Gannan Medical University, Ganzhou, China
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Objectives: To evaluate the safety and efficacy of sotn ureteroscope system with vacuum suctioning device for treating complicated steinstrasse.The medical records of 22 patients with complicated steinstrasse who underwent ureteroscopic lithotripsy via sotn ureteroscope system with vacuum suctioning device from January 2020 to March 2023 were summarized retrospectively. Five patients had ipsilateral renal calculi. The 11.5/12.5 F sotn ureteral access sheath (sotn-UAS) was placed below the lowermost section of the steinstrasse assisted by a 7.5/9.8 F standard ureteroscope, and then a 4.0/6.0 F console ureteroscope with laser fiber replaced the standard ureteroscope and was used for pulverizing the steinstrasse. The vacuum suctioning device was connected to the sotn-UAS for suctioning fragments and dusts.Result: All procedures were successfully completed. The steinstrasse was free in 22 patients according to kidney-ureter-bladder radiography one day postoperatively. No intraoperative complications were observed. A total of four patients experienced postoperative complications, including one patient who experienced fever and was treated with antipyretics, one patient who experienced hematuria and was cured with hemostatic agents, and two patients who experienced urinary tract infection and needed only antibiotics. Five patients with ipsilateral renal calculi were treated with medical expulsive therapy or retrograde intrarenal surgery after steinstrasse surgery, and four of these patients achieved stone free status at the 3-month follow-up.The Sotn ureteroscope system with vacuum suctioning device is a feasible and safe treatment for complicated steinstrasse and provides satisfactory clinical outcomes.
Keywords: Steinstrasse, Ureteral Calculi, suction ureteral access sheath, Ureteroscopic lithotripsy, Stone free rate
Received: 30 Oct 2024; Accepted: 23 Apr 2025.
Copyright: © 2025 Zhang, Xiao, Zeng, Liu, Xie and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Xiaoning Wang, Department of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, China
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