‘Negative ureteroscopy’ for stone disease: Evidence from a systematic review

Rice, Patrick; Prattley, Sarah; Pietropaulo, A.; Somani, B.

doi:10.1016/s1569-9056(19)33145-8

Cited by 1 publication

(1 citation statement)

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“…If no stone was identified at the time of initial URS, this was termed a ‘negative’ URS and indicates spontaneous passage between the time of diagnosis and treatment. 22 A patient was considered to have had a new stone episode if imaging had confirmed stone-free status (SFS) and at least 6 months had passed. Performed in the setting of a university teaching hospital, surgeries were performed by faculty endourologists ( n = 2), attendings ( n = 3) or residents ( n = 5) under their direct supervision.…”

Section: Methodsmentioning

confidence: 99%

Ureteroscopy for stone disease in the paediatric population: lessons learned and outcomes in a Nordic setting

Juliebø‐Jones

Æsøy

Gjengstø

et al. 2022

Therapeutic Advances in Urology

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Introduction: Paediatric stone disease is rare in the Nordic communities. Still, the condition can require surgical intervention in the form of ureteroscopy (URS). Here, we report outcomes achieved at a regional (tertiary) centre. Patients and methods: Retrospective analysis was performed of consecutive patients (<18 years of age) undergoing URS for stone disease between 2010 and 2021. Outcomes of interest included stone-free rate (SFR) determined using a definition of no residual fragments ⩾ 3 mm on imaging and complications classified according to Clavien–Dindo system. Results: In total, 23 patients underwent 47 URS procedures for a total of 31 stone episodes. Mean age was 9 (range 1–17) years and male-to-female ratio was 6:17. Overall, 35% had at least one medical comorbidity. Ultrasound determined preoperative stone status in 87%. Mean largest index and cumulative stone sizes were 9 (range 3–40) and 12 (range 3–40) mm, respectively. Overall, 32% had multiple stones. Lower pole was the commonest stone location (39%). No patients underwent elective pre-operative stenting. Ureteral access sheaths were not used in any cases. Access to upper urinary tract at first procedure was successful in 94%. Initial and final SFR was 61% and 90%, respectively. No intra-operative complications were recorded. Overall post-operative complication rate was 17.5%. Urinary tract infection (CD II) was the commonest adverse event (12.5%). Conclusion: Paediatric URS can be delivered in the setting of a regional centre without compromising outcomes. This includes when carried out by adult endourologists, without routine pre-stenting and omitting use of ureteric access sheath.

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Section: Methodsmentioning

confidence: 99%