Comparison between flexible ureteroscopy in pre-stented group of patients and none pre-stented patients
Keywords:
flexible ureteroscopy, urolithiasis, upper urinary calculi, ureteral stent, urologyAbstract
Background: Ureteroscopy has a low re-treatment rate and a high stone-free rate, making it a very successful therapy for ureteral stones. Though ureteral stent installation may make ureteroscope and ureteral access sheath insertion easier, it may come with more complications before and after the procedure. Aim: The objective of the research was to examine the disparities between pre-stenting and non-presenting ureteroscopy in the management of ureteral stones. Summary: Preoperative implantation of a ureteral stent may somewhat reduce the duration of surgery and enhance the stone-free rates in individuals having flexible ureteroscopy (fURS), however the effect is not statistically significant. Preoperative stenting resulted in a longer hospital stay and higher hospital expenses, but did not affect the incidence of complications and re-operations. Based on these data, it may be concluded that it is not justifiable to perform preoperative ureteral stent implantation before fURS for the treatment of upper urinary calculi. Nevertheless, due to the constraints of our study, more rigorous research, such as prospective randomized clinical trials, is necessary to validate our results.
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Li, T., Sun, X., Li, X., & He, Y. (2020). Flexible ureteroscopy lithotripsy combined with metallic ureteral stents for the treatment of patients with upper urinary tract calculi. Experimental and Therapeutic Medicine, 20(4), 3330–3335.
Ventimiglia, E., Smyth, N., Doizi, S., Jimenez Godinez, A., Barghouthy, Y., Corrales Acosta, M. A., Kamkoum, H., Somani, B., & Traxer, O. (2022). Can the introduction of single-use flexible ureteroscopes increase the longevity of reusable flexible ureteroscopes at a high volume centre? World Journal of Urology, 40(1), 251–256.
Cristallo, C., Santillán, D., Tobia, I., Tirapegui, F. I., Daels, F. P., & González, M. S. (2022). Flexible ureteroscopy without ureteral access sheath. Actas Urológicas Españolas (English Edition), 46(6), 354–360.
Geavlete, B., Mareș, C., Popescu, R.-I., Mulțescu, R., Ene, C., & Geavlete, P. (2023). Unfavorable factors in accessing the pelvicalyceal system during retrograde flexible ureteroscopy (fURS). Journal of Medicine and Life, 16(3), 372.
Chang, X., Wang, Y., Li, J., & Han, Z. (2021). Prestenting versus nonprestenting on the outcomes of flexible ureteroscopy for large upper urinary stones: a systematic review and meta-analysis. Urologia Internationalis, 105(7–8), 560–567.
Rindorf, D. K., Tailly, T., Kamphuis, G. M., Larsen, S., Somani, B. K., Traxer, O., & Koo, K. (2022). Repair rate and associated costs of reusable flexible ureteroscopes: a systematic review and meta-analysis. European Urology Open Science, 37, 64–72.
Hu, Q., Ji, Y., Wang, Z., Lai, Y., Deng, Q., Zhang, J., Wang, H., Liang, H., & Zhao, H. (2020a). Is a ureteral stent required before flexible ureteroscopy? Translational Andrology and Urology, 9(6), 2723.
Law, Y. X. T., Teoh, J. Y. C., Castellani, D., Lim, E. J., Chan, E. O. T., Wroclawski, M., Pirola, G. M., Giulioni, C., Rubilotta, E., & Gubbioti, M. (2022). Role of pre-operative ureteral stent on outcomes of retrograde intra-renal surgery (RIRS): systematic review and meta-analysis of 3831 patients and comparison of Asian and non-Asian cohorts. World Journal of Urology, 40(6), 1377–1389.
Yuk, H. D., Park, J., Cho, S. Y., Sung, L. H., & Jeong, C. W. (2020). The effect of preoperative ureteral stenting in retrograde Intrarenal surgery: a multicenter, propensity score-matched study. BMC Urology, 20, 1–7.
Tsampoukas, G., & Buchholz, N. (2022). Double J Stents in Flexible Ureteroscopy: Rationale and Indications of Ureteric Stenting Before and After Flexible Ureteroscopy. In Flexible Ureteroscopy (pp. 117–120). Springer.
Chhettri, P., Shrestha, A., Basnet, R. B., & Shrestha, P. M. (2020). Pre-stenting for Retrograde Intrarenal Surgery: Need and Duration: a Prospective Randomized Clinical Study. Nepalese Medical Journal, 3(2), 361–365.
Azhar, R. A., Alghamdi, M. M., Khawaji, A. A., Nassir, A. M., Munshi, S., Tayeb, W., & Elkoushy, M. A. (2022). Effective ureteral access sheath insertion during flexible ureteroscopy: Influence of the ureteral orifice configuration. Canadian Urological Association Journal, 16(7), E375.
Berger, J. H., DiPina, T., Alshara, L., Batagello, C., Heiman, J., Large, T., Sivalingam, S., Sur, R. L., Krambeck, A., & Bechis, S. K. (2023). The Effect of Pre-Stenting on Bleeding-Related Complications Following Ureteroscopy in Patients on Anticoagulation or Antiplatelet Therapy. Journal of Endourology, 37(11), 1174–1178.
Doizi, S., & Traxer, O. (2018). Flexible ureteroscopy: technique, tips and tricks. Urolithiasis, 46, 47–58.
Hu, Q., Ji, Y., Wang, Z., Lai, Y., Deng, Q., Zhang, J., Wang, H., Liang, H., & Zhao, H. (2020b). Is a ureteral stent required before flexible ureteroscopy? Translational Andrology and Urology, 9(6), 2723.
Jones, B. J., Ryan, P. C., Lyons, O., Grainger, R., McDermott, T. E. D., & Butler, M. R. (1990). Use of the double pigtail stent in stone retrieval following unsuccessful ureteroscopy. British Journal of Urology, 66(3), 254–256.
Sullere, A., Sureka, B., & Khera, P. S. (2018). ‘Stone street’ureter. Abdominal Radiology, 43, 2204–2205.
Lumma, P. P., Schneider, P., Strauss, A., Plothe, K.-D., Thelen, P., Ringert, R.-H., & Loertzer, H. (2013). Impact of ureteral stenting prior to ureterorenoscopy on stone-free rates and complications. World Journal of Urology, 31, 855–859.
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