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Related Experiment Videos

Routine ureteral stenting after ureteroscopy for ureteral lithiasis: is it really necessary?

N R Netto1, J Ikonomidis, C Zillo

  • 1Division of Urology, Hospital Israelita Albert Einstein, São Paulo, Brazil.

The Journal of Urology
|September 8, 2001
PubMed
Summary

Routine ureteral stenting after ureteroscopic stone removal increases operative time and costs without improving patient outcomes. This study found no significant differences in stone removal success or complications between stented and non-stented patients.

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Area of Science:

  • Urology
  • Health Economics

Background:

  • Ureteral stenting is common after ureteroscopic stone removal.
  • The necessity and cost-effectiveness of routine stenting remain debated.

Purpose of the Study:

  • To evaluate the cost-effectiveness of routine ureteral stenting following ureteroscopic lithotripsy.
  • To compare patient outcomes and healthcare costs between stented and non-stented groups.

Main Methods:

  • A randomized controlled trial involving 295 patients undergoing ureteroscopic stone removal.
  • Patients were divided into two groups: one receiving a ureteral stent and the other not.
  • Key metrics analyzed included operative time, stone characteristics, success rates, pain, complications, and hospital charges.

Main Results:

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  • No significant differences were observed in stone size, location, success rate, postoperative pain, or complications between the groups.
  • Routine stenting was associated with significantly longer operative times (p = 0.019).
  • Hospital charges were substantially higher for patients who received a stent ($9,900.95) compared to those who did not ($3,661.78).

Conclusions:

  • Routine ureteral stenting after ureteroscopic stone removal increases operative time and healthcare costs.
  • Stenting did not appear to enhance patient outcomes, success rates, or complication profiles.
  • Non-stenting appears to be a more cost-effective strategy for ureteroscopic stone removal.