Is Routine Ureteral Stenting Necessary after Uncomplicated Ureteroscopic Lithotripsy? A Retrospective Analysis and Review of Literature
DOI:
https://doi.org/10.7546/CRABS.2024.11.12Keywords:
urolithiasis, ureteroscopic laser lithotripsy, ureteral stentsAbstract
Urolithiasis is a common condition with increasing prevalence worldwide, high recurrence rate, and substantial impact on quality of life. Ureteroscopy combined with laser stone dusting or fragmentation and basketing is one of the most popular procedures for treatment of ureteral and renal calculi. However, there is no consensus in the literature about whether a ureteric stent should be placed after uncomplicated ureteroscopy for stone retrieval. Furthermore, the definition of uncomplicated URSL remains controversial as well. Stents, however, are potentially associated with some side effects worsening of the quality of life of patients, prolonged operating time, additional intervention for extraction, and higher costs.
A review of literature shows a number of studies suggesting that routine stenting can be avoided following uncomplicated ureteroscopy. This encourages us to conduct a retrospective study evaluating the need for routine ureteral stent placement in patients undergoing ureteroscopic laser lithotripsy and basketing.
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