Complications of ureteroscopy: a complete overview
Vincent De Coninck1,2,3, Etienne Xavier Keller1,2,4, Bhaskar Somani5
1Sorbonne Université, Service d'Urologie, Assistance-Publique Hôpitaux de Paris, Hôpital Tenon, 4 rue de la Chine, 75020, Paris, France.
World Journal of Urology
|November 22, 2019
Summary
Ureteroscopy complications, including ureteral injury and stone migration, are more common than reported. This review aids urologists in managing and preventing these risks.
Area of Science:
- Urology
- Surgical Complications
- Medical Device Safety
Background:
- Ureteroscopy is a common urological procedure.
- Complications can arise during and after ureteroscopy.
- Current reporting may underestimate the true incidence of adverse events.
Purpose of the Study:
- To provide a comprehensive overview of ureteroscopy complications.
- To detail the management and prevention strategies for these complications.
- To inform current urological practice.
Main Methods:
- Systematic literature review registered in PROSPERO (CRD42018116273).
- Searched Medline, Scopus, Embase, and Web of Science databases.
- Adhered to Population, Intervention, Comparator, Outcome (PICO) and Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) standards.
Main Results:
- Most frequent complications include ureteral stent discomfort, ureteral wall injury, and stone migration.
- Severe complications encompass urosepsis, multi-organ failure, and death.
- Reported incidence rates of complications varied significantly across studies.
Conclusions:
- Ureteroscopy may be associated with a higher complication rate than currently documented.
- This overview assists urologists in recognizing, managing, and preventing ureteroscopy complications.
- Further prospective studies with standardized complication classification are needed for better data comparison and patient counseling.
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