Impact of preoperative stenting on the outcome of flexible ureterorenoscopy for upper urinary tract urolithiasis: a systematic review and meta-analysis
Purpose: This study aimed to investigate the effect of preoperative stenting (POS) on the perioperative outcomes of flexible ureterorenoscopy (fURS). Materials and Methods: A systematic review and meta-analysis was conducted based on the PRISMA statement. From the initially retrieved 609 reports, we...
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| Format: | Article |
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S. Karger AG
2021
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| author | Fahmy, Omar S. H. S. M., Hadi Lee, C. K. S. Khairul Asri, Mohd Ghani |
| author_facet | Fahmy, Omar S. H. S. M., Hadi Lee, C. K. S. Khairul Asri, Mohd Ghani |
| author_sort | Fahmy, Omar |
| collection | UPM |
| description | Purpose: This study aimed to investigate the effect of preoperative stenting (POS) on the perioperative outcomes of flexible ureterorenoscopy (fURS). Materials and Methods: A systematic review and meta-analysis was conducted based on the PRISMA statement. From the initially retrieved 609 reports, we excluded the ineligible studies at 2 stages. We only included studies that contained fURS patients with and without POS in the same report. Data of patients who underwent semirigid ureteroscope only were excluded from the analysis. The Newcastle-Ottawa Scale (NOS) system was applied for risk of bias assessment. Results: A total of 20 studies including 5,852 patients were involved. 48.5% of the patients had preoperative stent. Stone-free rate was significantly higher with prestenting; odds ratio (OR) was 1.98 (95% CI: 1.51–2.58) (Z = 5.02; p = 0.00001). It also displayed tendency toward lower complications; OR was 0.74 (95% CI: 0.52–1.05) (Z = 1.67; p = 0.09). POS significantly increased the use of ureteral access sheath; OR was 1.49 (95% CI: 1.05–2.13) (Z = 2.22; p = 0.03). Risk of bias assessment showed 13 and 7 studies with low and moderate risk, respectively. Conclusions: POS clearly improves the stone-free rates after fURS. It might reduce the complications, especially ureteral injury. These findings might help solve the current debate and can be useful for urologists during patient counselling for a proper decision-making. |
| first_indexed | 2024-03-06T11:15:54Z |
| format | Article |
| id | upm.eprints-101798 |
| institution | Universiti Putra Malaysia |
| last_indexed | 2024-03-06T11:15:54Z |
| publishDate | 2021 |
| publisher | S. Karger AG |
| record_format | dspace |
| spelling | upm.eprints-1017982023-09-21T03:49:57Z http://psasir.upm.edu.my/id/eprint/101798/ Impact of preoperative stenting on the outcome of flexible ureterorenoscopy for upper urinary tract urolithiasis: a systematic review and meta-analysis Fahmy, Omar S. H. S. M., Hadi Lee, C. K. S. Khairul Asri, Mohd Ghani Purpose: This study aimed to investigate the effect of preoperative stenting (POS) on the perioperative outcomes of flexible ureterorenoscopy (fURS). Materials and Methods: A systematic review and meta-analysis was conducted based on the PRISMA statement. From the initially retrieved 609 reports, we excluded the ineligible studies at 2 stages. We only included studies that contained fURS patients with and without POS in the same report. Data of patients who underwent semirigid ureteroscope only were excluded from the analysis. The Newcastle-Ottawa Scale (NOS) system was applied for risk of bias assessment. Results: A total of 20 studies including 5,852 patients were involved. 48.5% of the patients had preoperative stent. Stone-free rate was significantly higher with prestenting; odds ratio (OR) was 1.98 (95% CI: 1.51–2.58) (Z = 5.02; p = 0.00001). It also displayed tendency toward lower complications; OR was 0.74 (95% CI: 0.52–1.05) (Z = 1.67; p = 0.09). POS significantly increased the use of ureteral access sheath; OR was 1.49 (95% CI: 1.05–2.13) (Z = 2.22; p = 0.03). Risk of bias assessment showed 13 and 7 studies with low and moderate risk, respectively. Conclusions: POS clearly improves the stone-free rates after fURS. It might reduce the complications, especially ureteral injury. These findings might help solve the current debate and can be useful for urologists during patient counselling for a proper decision-making. S. Karger AG 2021-08-25 Article PeerReviewed Fahmy, Omar and S. H. S. M., Hadi and Lee, C. K. S. and Khairul Asri, Mohd Ghani (2021) Impact of preoperative stenting on the outcome of flexible ureterorenoscopy for upper urinary tract urolithiasis: a systematic review and meta-analysis. Urologia Internationalis, 106 (7). 679 - 687. ISSN 0042-1138; ESSN: 1423-0399 https://karger.com/uin/article/106/7/679/827132/Impact-of-Preoperative-Stenting-on-the-Outcome-of 10.1159/000518160 |
| spellingShingle | Fahmy, Omar S. H. S. M., Hadi Lee, C. K. S. Khairul Asri, Mohd Ghani Impact of preoperative stenting on the outcome of flexible ureterorenoscopy for upper urinary tract urolithiasis: a systematic review and meta-analysis |
| title | Impact of preoperative stenting on the outcome of flexible ureterorenoscopy for upper urinary tract urolithiasis: a systematic review and meta-analysis |
| title_full | Impact of preoperative stenting on the outcome of flexible ureterorenoscopy for upper urinary tract urolithiasis: a systematic review and meta-analysis |
| title_fullStr | Impact of preoperative stenting on the outcome of flexible ureterorenoscopy for upper urinary tract urolithiasis: a systematic review and meta-analysis |
| title_full_unstemmed | Impact of preoperative stenting on the outcome of flexible ureterorenoscopy for upper urinary tract urolithiasis: a systematic review and meta-analysis |
| title_short | Impact of preoperative stenting on the outcome of flexible ureterorenoscopy for upper urinary tract urolithiasis: a systematic review and meta-analysis |
| title_sort | impact of preoperative stenting on the outcome of flexible ureterorenoscopy for upper urinary tract urolithiasis a systematic review and meta analysis |
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