Office stent placement under local anesthesia is a safe and efficient procedure for the management of multiple ureteral disorders

Carrión, Albert; D’Anna, M.; Costa-Grau, M.; Luque, P.; Garcı́a-Cruz, E.; Franco, A.; Alcaraz, Antonio

doi:10.1016/j.acuroe.2017.12.009

Cited by 1 publication

(8 citation statements)

References 12 publications

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“…Sixteen of the 17 studies 17,18,[25][26][27][28][29][30][31][32][33][34][35][36][37][38] used a lidocaine/lignocaine gel urethrally as LA, one study 10 did not explicitly specify what they used. The lidocaine gel was either 1% or 2%.…”

Section: Type Of La Used Sedoanalgesia Cystoscopy Type and Use Of Flu...mentioning

confidence: 99%

“…The lidocaine gel was either 1% or 2%. Of these 16 studies, nine used lidocaine gel alone, while five 18,28,29,35,36 used LA in combination with sedoanalgesia (typically a benzodiazepine administered orally or intravenously), two with lidocaine gel and a further lidocaine solution intravesically 28,38 and one 31 study had subgroups using both LA alone and LA with sedoanalgesia.…”

Section: Type Of La Used Sedoanalgesia Cystoscopy Type and Use Of Flu...mentioning

confidence: 99%

“…A flexible cystoscope alone ranging in calibre from 15-18F was used in nine studies 10,17,18,30,32,34,[36][37][38] , a rigid cystoscope from 17.5-22F in four studies 25,28,33,35 and a combination based on patient sex or surgeon preference in the four remaining studies 26,27,29,31 which tended to favour flexible cystoscopy for males and rigid cystoscopy for females.…”

Section: Type Of La Used Sedoanalgesia Cystoscopy Type and Use Of Flu...mentioning

confidence: 99%

“…Fluoroscopy was used for all LAUSI in 10 studies 10,18,[26][27][28][29][30][31]33,38 not used at all in six 17,32,[34][35][36][37] and used variably based on surgeon preference in one 25 study.…”

Section: Type Of La Used Sedoanalgesia Cystoscopy Type and Use Of Flu...mentioning

confidence: 99%

“…A successful stent insertion, defined as immediate successful placement under LA was directly reported within 13 studies 17,18,[26][27][28][29][30][31][32]34,[36][37][38] , with data presented in Figure 2. Successful LAUSI rates ranged from 71-98.9% in studies overall, with a pooled mean success rate of 89.3% overall (86.8% in LA only studies, 91.75% in LA ± sedoanalgesia).…”

Section: Primary Endpoint-efficacy Of La Stent Insertionmentioning

confidence: 99%

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Primary Ureteric Stent Insertion Under Local Anaesthetic or Sedoanalgesia in Non-pregnancy

Gabriel

Quraishi

Osman

et al. 2022

Journal of Endoluminal Endourology

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Background and ObjectiveTo characterise the evidence surrounding local anaesthetic ureteric stent insertion (LAUSI) in contexts outside of pregnancy, a procedure typically performed under general anaesthetic (GAUSI), as it has never been the subject of a systematic review.Materials and MethodsA systematic review of the Medline, EMBASE, PubMed, AMED, BNI, EMCARE, HMIC and PsycINFO databases was conducted to examine the published evidence in line with the Preferred Reporting Items of Systematic Review and Meta-analyses (PRISMA) guidelines surrounding the technique, patient demographics, setting, type of LA± sedoanalgesia used, cystoscopy and fluoroscopy usage, patient tolerability and pain, efficacy, complications and cost-effectiveness. Around 1,460 papers were systematically screened for inclusion.ResultsSeventeen studies were identified; one randomised controlled trials (RCT), four non-randomised com-parative studies, and 12 case-series describing LAUSI. The 17 studies encompassed a total of some 1545 LAUSI. The clinical indications were similar to those for GAUSI. Successful LAUSI rate ranged from 71-98.9% in studies overall, with a pooled mean success rate of 89.3% overall (86.8% in LA only, 91.75% in LA ± sedoanalgesia). The tolerability of a LAUSI patient across 14 studies had a pooled mean rate of 91.8% (88.6% in LA only, 95% in LA ± sedoanalgesia). The procedure time was reported in seven studies, and it ranged from 5.35±0.87 to 65.0±27.5 minutes. The four comparative studies showed no difference in complication rates between LAUSI and GAUSI. All five studies reporting on cost-effectiveness showed LAUSI to be superior to GAUSI.ConclusionsLAUSI is a safe, effective, and cost-effective alternative to GAUSI, which is underutilised. Further research in the form of RCTs is required to formally establish its place and acceptability amongst urologists.

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Section: Type Of La Used Sedoanalgesia Cystoscopy Type and Use Of Flu...mentioning

confidence: 99%

Section: Type Of La Used Sedoanalgesia Cystoscopy Type and Use Of Flu...mentioning

confidence: 99%

Section: Type Of La Used Sedoanalgesia Cystoscopy Type and Use Of Flu...mentioning

confidence: 99%

Section: Type Of La Used Sedoanalgesia Cystoscopy Type and Use Of Flu...mentioning

confidence: 99%

Section: Primary Endpoint-efficacy Of La Stent Insertionmentioning

confidence: 99%

See 3 more Smart Citations

Primary Ureteric Stent Insertion Under Local Anaesthetic or Sedoanalgesia in Non-pregnancy

Gabriel

Quraishi

Osman

et al. 2022

Journal of Endoluminal Endourology

View full text Add to dashboard Cite

show abstract

Office stent placement under local anesthesia is a safe and efficient procedure for the management of multiple ureteral disorders

Cited by 1 publication

References 12 publications

Primary Ureteric Stent Insertion Under Local Anaesthetic or Sedoanalgesia in Non-pregnancy

Primary Ureteric Stent Insertion Under Local Anaesthetic or Sedoanalgesia in Non-pregnancy

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