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[Catheterization after ureteroscopy. Always? never? when?]

I Schwartzmann1, J M Gaya1, A Breda1

  • 1Fundació Puigvert. Universitat Autónoma de Barcelona. Barcelona. España.

Archivos Espanoles De Urologia
|October 12, 2016
PubMed
Summary
This summary is machine-generated.

Routine ureteral stenting after ureteroscopy offers minimal benefit for uncomplicated cases, often causing more discomfort. Stenting is recommended only for complicated procedures or high-risk patients to avoid complications.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Ureteroscopy has become less invasive with technological advancements.
  • Ureteral stents can cause significant patient morbidity.

Purpose of the Study:

  • To evaluate the necessity and benefits of routine ureteral stenting post-ureteroscopy.
  • To identify patient groups that benefit from ureteral stenting.

Main Methods:

  • Systematic review and meta-analysis of literature.
  • Inclusion of systematic reviews, meta-analyses, and prospective randomized clinical trials.

Main Results:

  • Most studies indicate increased irritative urinary symptoms and pain with JJ stents.
  • No significant difference in postoperative complication rates was observed between stented and non-stented groups.

Conclusions:

  • Ureteral stenting provides little benefit for uncomplicated ureteroscopy regarding postoperative complications.
  • Stenting is advisable for complicated cases or those at high risk of complications.
  • Internal-external ureteral catheters may be a viable alternative requiring further research.