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Ureteric stents on extraction strings: a systematic review of literature

Ureteric stents on extraction strings: a systematic review of literature
Ureteric stents on extraction strings: a systematic review of literature

Short-term ureteric stents are commonly placed after ureteroscopy. The removal usually entails having a cystoscopy, but recently, endourologists have been using stents with extraction strings attached to them for ease of removal. We wanted to conduct a systematic review of literature looking at the outcomes of ureteric stents with extraction strings attached to them. Our objective was to investigate the use, morbidity, tolerability, complications, associated cost, and patient preference of stents with extraction strings attached to them. All studies in English language (between 1990 and 2015) where stents on extraction strings were either self-removed by patients or removed by physician were included. A total of eight studies (1279 patients) were included, of which 483 (38 %) patients had extraction strings for removal. There seemed to be no overall difference in pain scores or urinary symptoms between patients with and without extraction strings, but nearly 10 % of patients suffered stent dislodgement in the group with extraction strings attached. Overall stent dwell time was lower in patients who had their stents removed via extraction strings, and majority of them were able to remove their stents at home. Our study suggests that stents with extraction strings are easy for patient self-removal and can reduce the stent dwell time for patients, thus reducing the duration of morbidity and physical and financial burden to patients. However, this must be balanced against a risk of stent dislodgement and, hence, may not be a good option in all patients.

Journal Article, Review
2194-7228
129-136
Oliver, Rachel
82bdb18f-52f3-4fef-9968-c8d58acaca76
Wells, Hannah
5ae75764-3153-456e-a8be-cdd17046f5a6
Traxer, Olivier
2fa78817-b6f8-4f00-b389-c9c9ddbd01f3
Knoll, Thomas
67d55189-714e-4a74-9cb6-44b3fa05114e
Aboumarzouk, Omar
3c7e2433-638d-4378-9931-902fdc68acce
Biyani, Chandra S
2d96e24e-f3f3-4ba5-8258-73ba26f63321
Somani, Bhaskar K.
ab5fd1ce-02df-4b88-b25e-8ece396335d9
YAU Group
Oliver, Rachel
82bdb18f-52f3-4fef-9968-c8d58acaca76
Wells, Hannah
5ae75764-3153-456e-a8be-cdd17046f5a6
Traxer, Olivier
2fa78817-b6f8-4f00-b389-c9c9ddbd01f3
Knoll, Thomas
67d55189-714e-4a74-9cb6-44b3fa05114e
Aboumarzouk, Omar
3c7e2433-638d-4378-9931-902fdc68acce
Biyani, Chandra S
2d96e24e-f3f3-4ba5-8258-73ba26f63321
Somani, Bhaskar K.
ab5fd1ce-02df-4b88-b25e-8ece396335d9

Oliver, Rachel, Wells, Hannah, Traxer, Olivier, Knoll, Thomas, Aboumarzouk, Omar, Biyani, Chandra S and Somani, Bhaskar K. , YAU Group (2018) Ureteric stents on extraction strings: a systematic review of literature. Urolithiasis, 46 (2), 129-136. (doi:10.1007/s00240-016-0898-1).

Record type: Review

Abstract

Short-term ureteric stents are commonly placed after ureteroscopy. The removal usually entails having a cystoscopy, but recently, endourologists have been using stents with extraction strings attached to them for ease of removal. We wanted to conduct a systematic review of literature looking at the outcomes of ureteric stents with extraction strings attached to them. Our objective was to investigate the use, morbidity, tolerability, complications, associated cost, and patient preference of stents with extraction strings attached to them. All studies in English language (between 1990 and 2015) where stents on extraction strings were either self-removed by patients or removed by physician were included. A total of eight studies (1279 patients) were included, of which 483 (38 %) patients had extraction strings for removal. There seemed to be no overall difference in pain scores or urinary symptoms between patients with and without extraction strings, but nearly 10 % of patients suffered stent dislodgement in the group with extraction strings attached. Overall stent dwell time was lower in patients who had their stents removed via extraction strings, and majority of them were able to remove their stents at home. Our study suggests that stents with extraction strings are easy for patient self-removal and can reduce the stent dwell time for patients, thus reducing the duration of morbidity and physical and financial burden to patients. However, this must be balanced against a risk of stent dislodgement and, hence, may not be a good option in all patients.

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More information

Accepted/In Press date: 9 June 2016
e-pub ahead of print date: 20 June 2016
Published date: April 2018
Keywords: Journal Article, Review

Identifiers

Local EPrints ID: 418988
URI: http://eprints.soton.ac.uk/id/eprint/418988
ISSN: 2194-7228
PURE UUID: fc687698-9cbb-49d5-a718-17c24f6923d8

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Date deposited: 27 Mar 2018 16:30
Last modified: 16 Dec 2019 18:21

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Contributors

Author: Rachel Oliver
Author: Hannah Wells
Author: Olivier Traxer
Author: Thomas Knoll
Author: Omar Aboumarzouk
Author: Chandra S Biyani

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