Complete intraureteral stent placement reduces stent-related symptoms: Systemic review and meta-analysis

Ho, C. H.; Liu, Shih‐Ping; Wang, Chi-Wei; Liao, Pin-Wen

doi:10.1016/j.jfma.2022.06.014

Cited by 8 publications

(12 citation statements)

References 15 publications

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“…The use of stents with retrieval strings has been reported in humans, providing a less invasive option for removal. [21][22][23]33 Similar…”

Section: Discussionmentioning

confidence: 99%

“…The use of stents with retrieval strings has been reported in humans, providing a less invasive option for removal. 21 – 23 , 33 Similar approaches may have application in the future design of feline endoluminal stents.…”

Section: Discussionmentioning

confidence: 99%

“…In humans, lower urinary tract signs have been related to stent diameter 17 and length, 18 , 19 particularly the position of the stent termination crossing the midline of the bladder 19 , 20 or terminating within the ureter. 21 – 23 Pain is associated with vesicoureteral reflux and increases in renal intra-pelvic pressure, particularly during urination, 18 , 21 , 24 as stents bypass the ureterovesicular junction and impede ureteral peristalsis.…”

Section: Introductionmentioning

confidence: 99%

“…Recently, intra-ureteral termination of the distal end of endoluminal ureteral stents has been reported to significantly reduce lower urinary tract symptoms and improve quality-of-life scores during short-term placement in humans. 21 – 23 This report describes modified endoluminal ureteral stenting, with intra-ureteral stent termination, in two cats.…”

Section: Introductionmentioning

confidence: 99%

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Modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two cats

Khoo,

Wang,

Chambers

et al. 2023

Journal of Feline Medicine and Surgery Open Reports

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Case series summary Two cases of placement of modified endoluminal ureteral stents are described, for revision of a subcutaneous ureteral bypass (SUB) and for primary treatment of obstructive ureterolithiasis. Modified endoluminal stents were inserted through the ureterotomy, anchored in the renal pelvis with a single pigtail and shortened to a length sufficient to span the proximal ureter and ureterotomy site. Relevance and novel information The advantages of this approach as a surgical option for feline obstructive ureterolithiasis are demonstrated, including the avoidance of disruption, or bypass, of the ureterovesicular junction, minimisation of implanted foreign material and avoidance of intravesicular stent mass, maintenance of the physiological route of urine flow, including preservation of active distal ureteral function, and limitation of the potential complications of ureterotomy. The clinical efficacy of this adaptation of the previously published endoluminal stenting technique is demonstrated with its applicability de novo and in the revision of other stenting procedures.

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“…The use of stents with retrieval strings has been reported in humans, providing a less invasive option for removal. [21][22][23]33 Similar…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two cats

Khoo,

Wang,

Chambers

et al. 2023

Journal of Feline Medicine and Surgery Open Reports

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“…Another strategy to reduce VUR is the complete intraureteral placement of a JJ stent. In a meta-analysis, it was also shown to be effective in reducing SRS in patients undergoing short-term stenting after uncomplicated ureterorenoscopy [ 13 - 15 ].…”

Section: Reviewmentioning

confidence: 99%

Antireflux Ureteral Stents Prevent Stent-Related Symptoms: A Meta-Analysis of Randomized Controlled Trials

Adhoni,

Al Homsi,

Ali

et al. 2023

Cureus

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Ureteral stents are widely used in urological care, but they are often associated with adverse stent-related symptoms (SRS), such as painful urination, elevated urinary frequency, and abdominal discomfort. Antireflux ureteral stents have been developed to reduce stent-related pain and reflux by minimizing vesicoureteral reflux (VUR). This systematic review and meta-analysis of randomized controlled trials (RCTs) was undertaken to assess the efficacy of antireflux ureteral stents in mitigating SRS compared to conventional urethral stents. Our study included a total of 269 cases from three RCTs. The meta-analysis showed that antireflux ureteral stents were significantly more effective than standard stents in reducing SRS, including stent-related pain (odds ratio (OR): 4.80, 95% CI: 2.77, 8.31, p <0.00001), severe stent-related pain (OR: 8.35, 95% CI: 2.12, 32.89, p=0.002), flank pain while urinating (OR: 5.98, 95% CI: 3.35, 10.68, p <0.00001), and severe flank pain while urinating (OR: 15.79, 95% CI: 2.91, 85.57, p=0.001). There was no significant difference in the rates of postoperative creatinine abnormality or postoperative hydronephrosis between the two groups. Therefore, antireflux ureteral stents are more effective than standard stents in reducing SRS. This suggests that antireflux ureteral stents should be considered for patients undergoing ureteral stenting.

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Kao¹

2022

Journal of the Formosan Medical Association

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Complete intraureteral stent placement reduces stent-related symptoms: Systemic review and meta-analysis

Cited by 8 publications

References 15 publications

Modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two cats

Modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two cats

Antireflux Ureteral Stents Prevent Stent-Related Symptoms: A Meta-Analysis of Randomized Controlled Trials

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