Ureteral stent versus no ureteral stent for ureteroscopy in the management of renal and ureteral calculi

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Abstract

Ureteroscopy combined with laser stone fragmentation and basketing is a common approach for managing renal and ureteral stones. This procedure is associated with some degree of ureteral trauma. Ureteral trauma may lead to swelling, ureteral obstruction, and flank pain and may require subsequent interventions such as hospital admission or secondary ureteral stent placement. To prevent such issues, urologists often place temporary ureteral stents prophylactically, but the value of doing so remains unclear. Objectives To assess the effects of postoperative ureteral stent placement after uncomplicated ureteroscopy. Search methods We performed a comprehensive search using multiple databases (the Cochrane Library, MEDLINE, Embase, Scopus, Google Scholar, andWeb of Science), trials registries, other sources of grey literature, and conference proceedings, up to 01 February 2019. We applied no restrictions on publication language or status. Selection criteria We included trials in which researchers randomised participants undergoing uncomplicated ureteroscopy to placement of a ureteral stent versus no ureteral stent. Data collection and analysis Two review authors independently classified studies and abstracted data from the included studies. We performed statistical analyses using a random-effects model. We rated the certainty of evidence (CoE) according to the GRADE approach.

Original languageEnglish (US)
Article numberCD012703
JournalCochrane Database of Systematic Reviews
Volume2019
Issue number2
DOIs
StatePublished - Feb 6 2019

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Ureteral Calculi
Ureteroscopy
Kidney Calculi
Stents
Literature
Flank Pain
Ureteral Obstruction
Wounds and Injuries
MEDLINE
Patient Selection
Libraries
Registries
Publications
Lasers
Language
Research Personnel
Databases
Kidney

Cite this

@article{2186198c692b4a10998a42e099d27151,
title = "Ureteral stent versus no ureteral stent for ureteroscopy in the management of renal and ureteral calculi",
abstract = "Ureteroscopy combined with laser stone fragmentation and basketing is a common approach for managing renal and ureteral stones. This procedure is associated with some degree of ureteral trauma. Ureteral trauma may lead to swelling, ureteral obstruction, and flank pain and may require subsequent interventions such as hospital admission or secondary ureteral stent placement. To prevent such issues, urologists often place temporary ureteral stents prophylactically, but the value of doing so remains unclear. Objectives To assess the effects of postoperative ureteral stent placement after uncomplicated ureteroscopy. Search methods We performed a comprehensive search using multiple databases (the Cochrane Library, MEDLINE, Embase, Scopus, Google Scholar, andWeb of Science), trials registries, other sources of grey literature, and conference proceedings, up to 01 February 2019. We applied no restrictions on publication language or status. Selection criteria We included trials in which researchers randomised participants undergoing uncomplicated ureteroscopy to placement of a ureteral stent versus no ureteral stent. Data collection and analysis Two review authors independently classified studies and abstracted data from the included studies. We performed statistical analyses using a random-effects model. We rated the certainty of evidence (CoE) according to the GRADE approach.",
author = "Ordonez, {Maria A} and Hwang, {Eu Chang} and Borofsky, {Michael S} and Bakker, {Caitlin J} and Shreyas Gandhi and Philipp Dahm",
year = "2019",
month = "2",
day = "6",
doi = "10.1002/14651858.CD012703.pub2",
language = "English (US)",
volume = "2019",
journal = "The Cochrane database of systematic reviews",
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T1 - Ureteral stent versus no ureteral stent for ureteroscopy in the management of renal and ureteral calculi

AU - Ordonez, Maria A

AU - Hwang, Eu Chang

AU - Borofsky, Michael S

AU - Bakker, Caitlin J

AU - Gandhi, Shreyas

AU - Dahm, Philipp

PY - 2019/2/6

Y1 - 2019/2/6

N2 - Ureteroscopy combined with laser stone fragmentation and basketing is a common approach for managing renal and ureteral stones. This procedure is associated with some degree of ureteral trauma. Ureteral trauma may lead to swelling, ureteral obstruction, and flank pain and may require subsequent interventions such as hospital admission or secondary ureteral stent placement. To prevent such issues, urologists often place temporary ureteral stents prophylactically, but the value of doing so remains unclear. Objectives To assess the effects of postoperative ureteral stent placement after uncomplicated ureteroscopy. Search methods We performed a comprehensive search using multiple databases (the Cochrane Library, MEDLINE, Embase, Scopus, Google Scholar, andWeb of Science), trials registries, other sources of grey literature, and conference proceedings, up to 01 February 2019. We applied no restrictions on publication language or status. Selection criteria We included trials in which researchers randomised participants undergoing uncomplicated ureteroscopy to placement of a ureteral stent versus no ureteral stent. Data collection and analysis Two review authors independently classified studies and abstracted data from the included studies. We performed statistical analyses using a random-effects model. We rated the certainty of evidence (CoE) according to the GRADE approach.

AB - Ureteroscopy combined with laser stone fragmentation and basketing is a common approach for managing renal and ureteral stones. This procedure is associated with some degree of ureteral trauma. Ureteral trauma may lead to swelling, ureteral obstruction, and flank pain and may require subsequent interventions such as hospital admission or secondary ureteral stent placement. To prevent such issues, urologists often place temporary ureteral stents prophylactically, but the value of doing so remains unclear. Objectives To assess the effects of postoperative ureteral stent placement after uncomplicated ureteroscopy. Search methods We performed a comprehensive search using multiple databases (the Cochrane Library, MEDLINE, Embase, Scopus, Google Scholar, andWeb of Science), trials registries, other sources of grey literature, and conference proceedings, up to 01 February 2019. We applied no restrictions on publication language or status. Selection criteria We included trials in which researchers randomised participants undergoing uncomplicated ureteroscopy to placement of a ureteral stent versus no ureteral stent. Data collection and analysis Two review authors independently classified studies and abstracted data from the included studies. We performed statistical analyses using a random-effects model. We rated the certainty of evidence (CoE) according to the GRADE approach.

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