Ureteral Access Sheath Market Size, Share, Growth, and Industry Analysis by Inner Diameter (Fr below 10, Fr 10-12, and Fr 13-15); By Application (Hospitals and Clinics), Regional Insights and Forecast From 2025 To 2034

Last Updated: 01 September 2025
SKU ID: 27869112

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URETERAL ACCESS SHEATH MARKET OVERVIEW

The Global Ureteral Access Sheath Market is expected to be valued at USD 1.33 billion in 2025, increase to around USD 1.395 billion in 2026, and is forecasted to reach nearly USD 2.001 billion by 2034, advancing at a CAGR of 4.9% between 2025 and 2034.

Flexible ureteroscopy is made easier by ureteral access sheath in the treatment of urolithiasis. Ureteral access sheath is inserted into the ureter during endoscopic urological operations to act as a dilator and create a conduit, allowing the passage of endoscopes and other equipment into the urinary system. A hydrophilic coating as well as other qualities helps the ureteral access sheath, which is passed retrogradely and come in a wide variety of lengths and diameters, to enter the ureter smoothly and with enough protection against kinking and buckling.

Ureteral access sheath market demand is rising as it enables repeated ureteroscope passage while avoiding ureteral injury, enhancing irrigation fluid flow and urethral visibility with shorter surgical timeframes, boosting surgical effectiveness and lowering expenses. The placement of the ureteral access sheath entails an increased chance of ureteral wall ischaemia, damage to the ureter's mucosal or muscular layers, and maybe even a greater risk of ureteral strictures. Usually, ureteroscopy using a ureteral access sheath is followed by the placement of a ureteral stent. Endourologists have discovered various more useful applications for a ureteral access sheaths, including answers to other endourological problems and the percutaneous treatment for people with ureteral stones.

Key Findings

  • Market Size and Growth: The Global Ureteral Access Sheath Market is expected to be valued at USD 1.33 billion in 2025, increase to around USD 1.395 billion in 2026, and is forecasted to reach nearly USD 2.001 billion by 2034, advancing at a CAGR of 4.9% between 2025 and 2034.
  • Key Market Driver: Kidney stones affect approximately 271 men and 159 women per 100,000 people globally, driving the need for ureteral access sheath use.
  • Major Market Restraint: Placement of ureteral access sheaths can lead to complications such as bleeding, perforation, or avulsion in about 5-10% of procedures, limiting their adoption.
  • Emerging Trends: Advances in sheath design, including hydrophilic coatings and improved diameters ranging from Fr below 10 to Fr 15, are enhancing procedure efficiency and safety.
  • Regional Leadership: North America dominates the market, with healthcare spending at 18% of GDP in the U.S., supporting high adoption of ureteral access sheaths.
  • Competitive Landscape: Top manufacturers are launching over 20 new ureteral access sheath models in the last three years to strengthen market positions.
  • Market Segmentation: The Fr below 10 segment is expected to capture the largest market share through 2028, reflecting preference for smaller diameters in minimally invasive procedures.
  • Recent Development: COVID-19 caused a temporary decline of 15-20% in procedure volumes globally, affecting the demand and supply of ureteral access sheaths.

COVID-19 Impact

Halt on Demand, Supply, and Manufacturing Operations to Impede Market Growth

The global COVID-19 pandemic has been unprecedented and staggering, with ureteral access sheath experiencing lower-than-anticipated demand across all regions compared to pre-pandemic levels. The sudden rise in CAGR is attributable to the market’s growth and demand returning to pre-pandemic levels once the pandemic is over.

The unexpected occurrence of the COVID-19 pandemic had led to the execution of stringent lockdown rules across numerous nations ensuing in disturbances in the import and export activities of ureteral access sheath market. The abrupt COVID-19 pandemic outbreak had prompted the introduction of strict lockdown measures across a number of countries, which had disrupted the import and export of ureteral access sheath. The corona virus affected supply and demand directly, disturbed the production network and the marketplace, and had a financial impact on enterprises and financial business sectors. These were the three primary consequences it had on the global economy. Observing the scenario across the world after the COVID-19 emergency makes it clear that the market would offer producers attractive opportunities.

LATEST TRENDS

Improvements in Ureteral Access Sheath Design to Transform Market Outlook

The cost of ureteroscopy is influenced by constantly developing technology, a wide range of disposable devices, and inefficient use. The surgeon has easy control over which disposables are used out of these. In order to reduce expenses, several studies have recommended very significant alterations to ureteroscopy. Future studies would be helpful in elaborating on the details of our findings, but we have found that rethinking one's preference card can save up to USD 80 per case without much effort or a significant change in our ureteroscopy technique, all without endangering or impairing the comfort of the patients.

The process is very difficult and expensive because of requirements and strict health. Additionally, they are being developed for use downstream from Types and Applications. The Ureteral Access Sheath market studies highlighted how solitary use technology has had a transforming influence on the development and manufacture of Ureteral Access Sheath market where, with traditional production approaches, getting together the best requirements and rigorous healthiness makes the process especially complex and price-intensive.

  • Hydrophilic Coating Adoption: Studies indicate that the use of hydrophilic-coated ureteral access sheaths has led to a 15% reduction in insertion resistance, improving procedural efficiency and patient comfort.
  • Digital Ureteroscope Integration: The integration of digital ureteroscopes in urological procedures has resulted in a 47% increase in stone-free rates and a 20% reduction in operative time.
Global-Ureteral-Access-Sheath-Market-Share,-By-Type,-2034

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URETERAL ACCESS SHEATH MARKET SEGMENTATION

  • By Inner Diameter

Depending on the inner diameter ureteral access sheath is categorized such as Fr below 10, Fr 10-12, and Fr 13-15. The Fr below 10 segments will capture the maximum market share through 2028.

  • By Application

The market is divided into Clinic and Hospital categories based on application. The clinic segment will dominate the market share during 2022-2028.

DRIVING FACTORS

Growing Demand for Minimally Invasive Ureteroscopy Procedures to Boost Market Growth

The market for ureteral access devices has recently had an impact on the need for ureteroscopy. The market is primarily driven by the increasing prevalence of ureteral ailments or urinary tract infections. Current models of treatment for minimally invasive urologic procedures, notably for the therapy of urinary tract stones, include ureteroscopy and PCNL (Percutaneous Nephrolithotomy). Kidney stone disease affects one in every eleven Americans, and its prevalence is increasing due to the prevalence of obesity and diabetes, which are common risk factors for stone disease. Quantitative usage of cutting-edge apps typically lowers healthcare costs and concentrates on providing patient-centered treatment. Due to the demand for less invasive surgical techniques, more than 350,000 ureteroscopies and PCNL systems are expected to be done in the U.S. during the course of the next ten years.

Increasing Occurrence of Kidney Stones to Augment Market Growth

Kidney stones are a major health concern across the world. Globally, the condition affects millions of individuals worldwide. A recent study by the Catholic University of the Sacred Heart, Milan, highlighted that kidney stones affect 271 men and 159 women per 100,000 people. The increasing burden of this condition has increased the need for efficient, accurate, and reliable ureteroscopy procedures. Thus, the rising prevalence of kidney stones among the global population will augment the ureteral access sheath market share during the projected period.

  • Rising Incidence of Urolithiasis: The prevalence of kidney stones has been increasing globally, with studies showing a 15% rise in cases over the past decade, driving the demand for ureteral access sheaths.
  • Advancements in Surgical Techniques: The adoption of minimally invasive procedures, such as retrograde intrarenal surgery (RIRS), has led to a 20% increase in the use of ureteral access sheaths, enhancing surgical outcomes.

RESTRAINING FACTORS

Complications Related to the Placement of Ureteral Access Sheath Could Limit their Demand

The use of ureteral access sheath has increased along with the function of retrograde intrarenal surgery in the treatment of stone disease, but it has also brought to light several problems related to ureteral access sheath. Understanding potential issues will help you see them early and stop them in their tracks. These issues might occur during surgery, just thereafter, or even in the future.

The use of ureteral access sheath can result in intraoperative problems such bleeding, perforation, and avulsion. Due to a lack of a valid categorization methodology, there has been a tendency over time to underreport the harm brought on by the insertion of ureteral access sheath. These factors could impact ureteral access sheath market growth.

  • Procedure-Related Complications: The use of ureteral access sheaths has been associated with a 41.9% incidence of complications, including sheath breakage and ureteral injury, which may deter adoption. 
  • High Procedure Costs: The average cost of a ureteroscopy procedure, including the use of ureteral access sheaths, exceeds $5,000, posing a financial burden on healthcare systems and patients.

URETERAL ACCESS SHEATH MARKET REGIONAL INSIGHTS

North America to Dominate Market Share due to Robust Healthcare Investments

Due to the existence of significant manufacturing firms, North America, led by the U.S. and Canada, dominates the ureteral access sheaths market share. The United States spends 18% of its GDP on healthcare and the treatment of ailments in this region, which is more than the average for wealthy nations. Apart from this there are various advancements occurring in the technologies which drives the market growth in this region.

KEY INDUSTRY PLAYERS

Market Players Focus on New Product Launches to Strengthen Market Position

Leading players in the market are adopting various strategies to expand their presence in the market. These include R&D investments and launch of new, technologically-advanced products in the market. Some companies are also adopting strategies such as partnerships, mergers, and acquisitions to strengthen their market position.

  • Boston Scientific: The Navigator™ HD Ureteral Access Sheath facilitates scope manipulation and repeated passage during ureteroscopy procedures, reducing procedure time by 20% and enabling up to 5 repeated scope insertions per procedure.
  • Cook Medical: The Flexor® Ureteral Access Sheath features a kink-resistant design and hydrophilic coating, improving maneuverability and reducing insertion resistance by 15%, supporting over 300,000 ureteroscopy procedures annually in U.S. hospitals.

List Of Top Ureteral Access Sheath Companies

  • Boston Scientific (U.S.)
  • Cook Medical (U.S.)
  • COLOPLAST (New Zealand)
  • Olympus (Japan)
  • C.R. Bard (U.S.)
  • Applied Medical (U.S.)
  • Richard Wolf (Germany)
  • Cogentix Medical (U.S.)

REPORT COVERAGE

The ureteral access sheath market research report assists in this respect by doing in-depth market research for various companies who are trying to ascertain what customers actually desire. Every company owner wants to understand the market demand for a new product before introducing it, and this market research article serves as the finest resource for them. By including all the most recent industry improvements, it also assists in meeting corporate requirements. The easiest way to keep a close check on the actions of top rivals and the company expansion methods they are doing is to read a market study for ureteral access sheaths. It also makes an in-depth research for the assessment period 2021-2028 to present new commercial prospects for the firm owners.

Ureteral Access Sheath Market Report Scope & Segmentation

Attributes Details

Market Size Value In

US$ 1.33 Billion in 2025

Market Size Value By

US$ 2.001 Billion by 2034

Growth Rate

CAGR of 4.9% from 2025 to 2034

Forecast Period

2025-2034

Base Year

2024

Historical Data Available

Yes

Regional Scope

Global

Segments Covered

By Inner Diameter

  • Fr Below 10
  • Fr 10-12
  • Fr 13-15

By Application

  • Clinic
  • Hospital

FAQs