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Ureteral Stents in the Management of Pediatric Urolithiasis: A Systematic Review

Qibo Hu1, Hongbo Liu1, Kai Chen2

  • 1Department of Urology, Pediatric Urolith Centre, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Centre for Child Health, Hangzhou, China.

Journal of Endourology
|July 10, 2025
PubMed

Insights

Routine ureteral stent placement offers no benefit for uncomplicated pediatric urolithiasis. Selective use in complex cases and advancements in novel stents are recommended for better outcomes.

Area of Science:

  • Pediatric Urology
  • Nephrolithiasis Management
  • Medical Device Technology

Background:

  • Ureteral stents are common in urolithiasis treatment.
  • Pediatric anatomical and physiological differences necessitate specific considerations for stent use.
  • Clinical interest is high regarding the safe and effective application of ureteral stents in children.

Purpose of the Study:

  • To review the classification and application scenarios of ureteral stents in pediatric urolithiasis.
  • To summarize potential adverse effects associated with ureteral stent use in children.
  • To provide a clinical decision-making reference for pediatric ureteral stent placement.

Main Methods:

  • Systematic review of PubMed, Embase, and Cochrane databases.
  • Keywords: "ureteral stent," "urolithiasis," "pediatric."
  • Inclusion of comparative trials and extraction of treatment efficacy data.

Main Results:

  • Routine ureteral stenting offers no significant benefit for uncomplicated pediatric urolithiasis cases.
  • Selective stent placement is advised for complex cases involving ureteral injury, stricture, or solitary/impaired kidneys.
  • Novel ureteral stents show potential in reducing complications, avoiding secondary anesthesia, and lowering costs.

Conclusions:

  • No current consensus exists on ureteral stent indications in pediatric urolithiasis.
  • Selective placement based on case complexity and intraoperative findings is recommended.
  • Future stent development aims to enhance patient quality of life and minimize complications.
Abstract

Keywords:
diagnosispediatrictreatmentureteral stenturolithiasis

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