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Is a ureteral stent required before flexible ureteroscopy?
Qiyi Hu1, Yongjian Ji2, Zhu Wang1
1Department of Urology, People's Hospital of Longhua, Southern Medical University, Shenzhen, China.
Translational Andrology and Urology
|January 18, 2021
Summary
Flexible ureteroscopy (fURS) without preoperative ureteral stenting is safe and effective for upper urinary calculi. This approach reduces hospital stay and costs, with comparable long-term stone-free rates and complication risks.
Area of Science:
- Urology
- Endourology
- Nephrolithiasis Management
Background:
- Flexible ureteroscopy (fURS) is a key treatment for upper urinary calculi.
- Preoperative ureteral stenting is commonly used but can cause patient discomfort and increase costs.
Purpose of the Study:
- To evaluate the therapeutic effectiveness and safety of fURS without preoperative ureteral stent placement.
- To compare outcomes between patients with and without preoperative ureteral stenting.
Main Methods:
- Retrospective review of 243 patients undergoing fURS lithotripsy.
- Two groups: Group A (no stent, n=119) and Group B (stent, n=124).
- Comparison of operative time, hospital stay, costs, stone-free rates (SFRs), complications, and re-operation rates.
Main Results:
- Group A had longer operative times but significantly shorter hospital stays and lower costs.
- Early SFRs (3 days) were lower in Group A, but 1-month SFRs were comparable between groups.
- Complication and re-operation rates were similar in both groups.
Conclusions:
- fURS without preoperative ureteral stenting is a safe and effective treatment option for upper urinary calculi.
- This approach offers benefits in reduced hospital stay and healthcare costs without compromising long-term efficacy or safety.
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