Is Routine Ureteral Stenting Necessary after Uncomplicated Ureteroscopic Lithotripsy? A Retrospective Analysis and Review of Literature

Authors

  • Aleksandar I. Timev Medical University – Sofia, Bulgaria
  • Boris N. Botev Medical University – Sofia, Bulgaria
  • Goran B. Derimachkovski MBAL “Saint Sofia”, Bulgaria
  • Petar A. Antonov Medical University of Plovdiv, Bulgaria

DOI:

https://doi.org/10.7546/CRABS.2024.11.12

Keywords:

urolithiasis, ureteroscopic laser lithotripsy, ureteral stents

Abstract

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.

Author Biographies

Aleksandar I. Timev, Medical University – Sofia, Bulgaria

Mailing Address:
Urology Clinic, UMHAT “Alexandrovska”,
Department of Urology,
Faculty of Medicine, Medical University – Sofia,
1 Georgi Sofiiski St, 1431 Sofia, Bulgaria

E-mail: a.timev@gmail.com

Boris N. Botev, Medical University – Sofia, Bulgaria

Mailing Address:
Urology Clinic, UMHAT “Alexandrovska”,
Department of Urology,
Faculty of Medicine, Medical University – Sofia,
1 Georgi Sofiiski St, 1431 Sofia, Bulgaria

E-mail: borisnbotev@abv.bg

Goran B. Derimachkovski, MBAL “Saint Sofia”, Bulgaria

Mailing Address:
Department of Urology, MBAL “Saint Sofia”,
104 Bulgaria Blvd,
1618 Sofia, Bulgaria

E-mail: gderimachkovski@gmail.com

Petar A. Antonov, Medical University of Plovdiv, Bulgaria

Mailing Address:
Department of Urology and General Medicine,
Medical University of Plovdiv,
15A Vassil Aprilov Blvd,
4002 Plovdiv, Bulgaria

E-mail: p_antonov@abv.bg

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Published

30-11-2024

How to Cite

[1]
A. Timev, B. Botev, G. Derimachkovski, and P. Antonov, “Is Routine Ureteral Stenting Necessary after Uncomplicated Ureteroscopic Lithotripsy? A Retrospective Analysis and Review of Literature”, C. R. Acad. Bulg. Sci., vol. 77, no. 11, pp. 1679–1686, Nov. 2024.

Issue

Section

Medicine