Revenue, 2025

USD 220 Million

Forecast, 2035

USD 440.93 Million

CAGR, 2026-2035

7.2%

Report Coverage

United States

U.S. Ureteral Access Sheath Market Trends for 2026

The U.S. ureteral access sheath market size was estimated at USD 220 million in 2025 and is predicted to increase from USD 235.84 million in 2026 to approximately USD 440.93 million by 2035, expanding at a CAGR of 7.2% from 2026 to 2035. The U.S. ureteral access sheath market is growing due to the growing prevalence of kidney stones, the modification to minimally invasive technology, the growth in outpatient care, and better-quality patient safety.

Key Takeaways

• The United States ureteral access sheath market will likely exceed USD 235.84 million by 2026.
• Valuation is projected to hit USD 440.93 million by 2035.
• Estimated to grow at a CAGR of 7.2% starting from 2026 to 2035.
• By product type, the hydrophilic-coated ureteral sheaths segment held 42% market share in 2025 and is expected to grow at the fastest CAGR of 7.50% during the forecast period.
• By material, the polymer-based sheaths segment held the largest market share of 55% in 2025.
• By material, the hybrid materials segment held the second-largest market share of 25% in 2025, and is expected to grow at the fastest CAGR of 7.10% during the forecast period.
• By usage, the disposable (single-use) segment held the largest U.S. ureteral access sheath market share of 70% in 2025 and is expected to grow at the highest CAGR of 7.60% during the forecast period.
• By application, the kidney stone management segment held the largest market share of 65% in 2025, and is expected to grow at the highest CAGR of 7.30% during the forecast period.
• By distribution channel, the direct sales segment held the largest market share of 50% in 2025.
• By distribution channel, the online sales segment held a notable market share of 15% in 2025 and is estimated to be the fastest growing with a CAGR of 8.10% during the forecast period.

Market Overview: What is the U.S. Ureteral Access Sheath?

The U.S. ureteral access sheath market is growing, as this type of sheath (UASs) is part of a urologist's armamentarium when performing retrograde intrarenal surgery (RIRS). Ureteral access sheaths (UASs) are applied to protect the FURS scope and lower intrarenal pressure. UASs through suction functionality are progressively used during FURS. Ureteral access sheath is a specialized tool applied during ureteroscopic and retrograde intrarenal operations. It offers an incessant access channel to the ureter and kidney, enabling safe passage of flexible tools. This sheath supports lowers trauma and maintains consistent dilation through the technology. They became broadly adopted in the 2000s as flexible ureteroscopes increased in popularity. The ureteral access sheath is a significant device in modern endourological technology, offering a balance of access, safety, and control for urologists.

How is AI governing the U.S. Ureteral Access Sheath Market?

AI-driven technology in the U.S. ureteral access sheath provides planning, execution, and postoperative assessment, which optimizes stone targeting, enhances navigation, and elevates overall action precision. The continuing development of these technologies is completed by the entrance of AI-based technology into urological procedures. AI-based systems analyse 2D fluoroscopic images to reconstruct 3D replicas of the ureter for advanced navigation and planning. AI-based support to minimize the challenges of post-operative infectious complications such as urosepsis and renal injury.

Future Outlook & Trends in the U.S. Ureteral Access Sheath Market

• Suction-Based Technology (FANS): Using suction ureteral access sheaths (SUASs) while endoscopic stone surgery enhances short-term stone-free rates (SFRs), cuts surgical time, and reduces overall complication rates.
• Pressure-Controlled Systems: Negative pressure UAS utilizes negative pressure suction to improve drainage, irrigation fluid, and attract stones, therefore lowering renal pelvic pressure. These technologies aim to maintain intrarenal pressure (IRP) below the 30 mmHg safety threshold.
• Applications of Ureteral Access Sheath in Paediatric Treatment: The adoption of ureteral access sheaths (UAS) simplifies the passage to the paediatric ureter and lowers the challenges of ureteral complexities. Paediatric-specific projects in Ureteral Access Sheaths (UAS) are plotted to address the exclusive anatomical risk of children, such as narrower ureteral calibers and fragile materials

Key Indicators and Highlights

Segmentation Analysis

By Product Type Insights

The Hydrophilic-Coated Ureteral Access Sheaths Segment Led the U.S. Ureteral Access Sheath Market in 2025

The hydrophilic-coated ureteral access sheaths segment held 42% share of the U.S. ureteral access sheath market in 2025, and is estimated to grow at the highest CAGR of 7.50% as hydrophilic coating allows smooth insertion and negligible trauma. Hydrophilic coatings substantially lower the friction between the sheath and ureteral walls, enhancing insertion smoothness and patient comfort.

The standard ureteral access sheaths segment held 38% in 2025, as it offers a pathway for the entry of the ureteroscope and drainage in the ureter, helping in determining the aforementioned challenges. It allows multiple ureteral passes, enhancing time effectiveness and procedural standardization in stone management. The S-UAS facilitates effective stone dust evacuation, enhances immediate clinically acceptable SFRs, and lowers auxiliary technology rates without growing complications.

Whereas the dual-lumen ureteral access sheaths segment held a notable share of 20% in the market in 2025, as a dual-lumen catheter intended for over-the-wire placement, offering two separate working channels for second wire placement or injection. It provides simple access for delivering irrigation fluid and contrast media into the renal cavities while using ureteroscopy technology by keeping the guidewire in place.

By Material Insights

Polymer-based Sheaths Segment Led the U.S. Ureteral Access Sheath Market in 2025

The polymer-based sheaths segment captured the largest market share of approximately 55% in 2025, as polyolefin sheath materials offer numerous benefits, including durability, chemical resistance, flexibility, thermal stability, electrical insulation properties, environmental resistance, cost-effectiveness, safety, and versatility. These advantages make them an excellent choice for protecting and insulating cables in various applications.

The hybrid materials segment held the second largest share of approximately 25% of the U.S. ureteral access sheath market in 2025, and is expected to grow at a CAGR of 7.10% during the predicted time as it enhances the balance among insertion safety, navigating challenging anatomy, and increasing surgical efficiency. The applications of ureteral access sheaths (UAS) improve both access and the process's efficiency. It offers major benefits such as lessening of intrarenal pressure, lowering the risk of infection, enhanced irrigation and drainage, and improved visualization during stone retrieval.

Whereas the silicone-based sheaths segment held a notable share of 20% in the market in 2025, as silicone is a super smooth material with an increasing degree of flexibility, making insertion easy and leading to less irritation to the urethra. They have minimal encrustation as compared to latex and are more tissue-friendly.

By Usage Insights

The Disposable (single-use) Segment held the Largest Share in the Market in 2025

The disposable (single-use) segment contributed the largest market share of approximately 70% in 2025, and is expected to grow at the highest CAGR of 7.60% during the forecast period, as disposable ureteral access sheaths (UAS) are significant tools in modern retrograde intrarenal surgery (RIRS), intended to simplify safe and well-organized access to the upper urinary tract. It has evolved as a less invasive substitute to percutaneous nephrolithotomy while handling larger renal stones.

The reusable segment held the second largest share of 30% of the U.S. ureteral access sheath market in 2025. Reusable laparoscopic tools substantially lower the expenses of laparoscopic operations, without compromising the safety of patients and healthcare personnel. Reusables provide significant long-standing cost savings, particularly in amenities with specialized or lower-volume technology.

By Application Insights

The Kidney Stone Management Segment held the Largest Share of the Market in 2025

The kidney stone management segment contributed the largest market share of approximately 65% in 2025, and is estimated to grow at a CAGR of 7.30% during 2026-2035 as applications of UAS for renal stones are safe with no intra-operative challenges. Ureteral access sheaths allow multiple ureteral passes, enhancing time effectiveness and technical standardization in stone management. The flexible vacuum-driven ureteral access sheath integrated with a flexible ureteroscope is effective in the treatment of large renal stones over 3 cm.

The ureteral stricture management segment held the second largest share of 20% of the U.S. ureteral access sheath market in 2025, as it offers an opportunity for the entry of the ureteroscope and drainage in the ureter, assisting in undertaking the aforementioned challenges. It enhances intraoperative visibility and lowers postoperative difficulties.

Whereas the diagnostic procedures segment held a notable share of 15% in the market in 2025, as the ureteral access sheath helps to better irrigation flow and lowers intrarenal pressure during complex stone removal technology. Facilitating easy and safe access during ureteroscopy and RIRS measures.

By Distribution Channel Insights

The Direct Sales Segment held the Largest Share of the Market in 2025

The direct sales segment contributed the largest market share of 50% in 2025, as the direct sales approach enables businesses to engage customers without intermediaries, allowing for greater control over the sales process, pricing, and customer relationships. Direct sales typically possess more control over prices because these companies don't require wholesalers and retailers or store spaces.

The distributors segment held the second largest share of 35% of the U.S. ureteral access sheath market in 2025, as distributors provide designed, local sales teams who offer immediate technical help and training to physicians, which is significant for the acceptance of specialized devices such as suction-enabled or tip-bendable UAS.

Whereas the online sales segment held a notable share of approximately 15% of the market in 2025, and is estimated to achieve the highest growth rate of 8.10%, because it provides major advantages, such as saving time and expenses, and having access to a broad range of ureteral products. Online sales of healthcare devices that provide remote patient monitoring. It is also beneficial because it provides a significant level of convenience.

Market Ecosystem Analysis

Supply Chain Analysis

R&D:

• Research and development (R&D) for U.S. ureteral access sheath involves design and product development, testing and mechanical benchmarking, clinical and regulatory services, and specialized engineering support.
• Key Players: Boston Scientific Corporation and Cook Medical  

Manufacturing Processes:

• Manufacturing processes in the U.S. ureteral access sheath involve tube extrusion, reinforcement, tip and hub assembly, surface coating, sterilization, and packaging.
• Key Players: Coloplast Corp and Olympus Corporation

Patient Services:

• Patient services of U.S. ureteral access sheath, including improving safety, lowering operative time, and reducing challenges during retrograde intrarenal surgery (RIRS) and ureteroscopy, are characteristic of kidney stone management.
• Key Players: Teleflex Incorporated and Karl Storz Endoscopy GmbH

Latest Updates of Key Players in the U.S. Ureteral Access Sheath Market

Market Share Influence Assessment

Competitive Landscape

SWOT Analysis

Strengths

• The applications of UAS demonstrated several benefits to facilitate retrograde intrarenal access, reduce intrarenal pressure, protect the ureter, protect the scope, and expedite stone extraction. 
• Ureteral access sheaths allow multiple ureteral passes, enhancing time efficiency and procedural standardization in stone treatment.

Weaknesses

• The insertion of the UAS causes mucosal injuries, edema, or even complete perforation and avulsion of the ureter.

Opportunities

• Advances in flexible ureteroscopes (fURS) and high-power holmium lasers (HPHL) systems have prolonged indications, making retrograde intrarenal surgery (RIRS) the preferred strategy for complex upper urinary tract stones
• The S-UAS allows effective stone dust evacuation, enhances immediate clinically acceptable SFRs, and lowers auxiliary procedure rates without increasing challenge.

Threats

• Major disadvantages are potential ureteral wall injury, insertion failure in thin ureters, and the trouble of balancing sheath size.

Recent Developments in the U.S. Ureteral Access Sheath Market

• In October 2025, Dornier MedTech America (DMTA) launched in the United States its Dornier Hoover Flexible and Navigable Suction Ureteral Access Sheath (FANS) and Dornier Axis II Slim single-use ureteroscope with a 5.6Fr. distal tip. Both products were cleared by the U.S. Food and Drug Administration.
• In September 2025, Dornier MedTech America (DMTA) announced the full U.S. commercial launch of its Dornier Hoover Flexible and Navigable Suction Ureteral Access Sheath (FANS) and Dornier Axis II Slim single-use ureteroscope with a 5.6Fr. distal tip.
• In September 2025, Calyxo, Inc., a healthcare tools organization advancing innovative solutions for kidney stone treatment, today announced the launch of Reverse Deflection on its second-generation CVAC System, an improvement that empowers endourologists to perform the SURE technology using their preferred steering mode.

Segments Covered in the Report

By Product Type

• Standard Ureteral Access Sheaths
  • Single-use Standard Sheaths
  • Reusable Standard Sheaths
• Hydrophilic Coated Ureteral Access Sheaths 
  • Fully Hydrophilic Coated
  • Partially Hydrophilic Coated
• Dual-Lumen Ureteral Access Sheaths
  • Active Irrigation Sheaths
  • Passive Irrigation Sheaths

By Material

• Polymer-based Sheaths
  • Polyurethane
  • Pebax (Polyether Block Amide)
• Silicone-based Sheaths
• Hybrid Materials
  • Polymer + Metal Reinforcement

By Size (Diameter)

• Small Diameter (≤10/12 Fr)
• Medium Diameter (11/13–12/14 Fr)
• Large Diameter (≥13/15 Fr)

By Length

• Short Length (<25 cm)
• Medium Length (25–35 cm)
• Long Length (>35 cm)

By End User

• Hospitals
  • Large Hospitals
  • Mid-size Hospitals
• Ambulatory Surgical Centers (ASCs)
• Specialty Clinics
  • Urology Clinics

By Usage

• Disposable (Single-use)
• Reusable

By Application

• Kidney Stone Management
  • Flexible Ureteroscopy
  • Laser Lithotripsy
• Ureteral Stricture Management
• Diagnostic Procedures

By Distribution Channel

• Direct Sales
• Distributors
• Online Sales