‘Negative ureteroscopy’ for stone disease: evidence from a systematic review
‘Negative ureteroscopy’ for stone disease: evidence from a systematic review
Purpose of Review: While ureteroscopy (URS) is a common procedure for ureteric stones, this window between diagnosis and treatment leaves the possibility for a ‘negative’, ‘stoneless’ or ‘diagnostic’ URS. We perform a systematic review to look at the rate of ‘negative ureteroscopy’ and risk factors associated with it. Recent Findings: From a total of 3599 articles and 68 abstracts, 4 studies (1336 patients) were selected. The negative URS rate varied from 4 to 14%. Common predictors seem to be female gender, small stones, radiolucent stones and distal ureteric stones. Summary: Although infrequent, negative ureteroscopy should be avoided in patients with ureteric stones by performing a low-dose CT scan on the day of surgery. This should especially be performed for females and those with smaller, radiolucent or distal ureteric stones.
Diagnostic, Negative, Stone, Stoneless, Ureteric, Ureteroscopy
Rice, Patrick
683deec4-9123-4886-9b93-e0cf8d9e67f8
Prattley, Sarah
fe166d46-f5d3-4d84-838f-10eee44f85d5
Somani, Bhaskar K.
ab5fd1ce-02df-4b88-b25e-8ece396335d9
1 March 2019
Rice, Patrick
683deec4-9123-4886-9b93-e0cf8d9e67f8
Prattley, Sarah
fe166d46-f5d3-4d84-838f-10eee44f85d5
Somani, Bhaskar K.
ab5fd1ce-02df-4b88-b25e-8ece396335d9
Rice, Patrick, Prattley, Sarah and Somani, Bhaskar K.
(2019)
‘Negative ureteroscopy’ for stone disease: evidence from a systematic review.
Current Urology Reports, 20 (3), [13].
(doi:10.1007/s11934-019-0878-4).
Abstract
Purpose of Review: While ureteroscopy (URS) is a common procedure for ureteric stones, this window between diagnosis and treatment leaves the possibility for a ‘negative’, ‘stoneless’ or ‘diagnostic’ URS. We perform a systematic review to look at the rate of ‘negative ureteroscopy’ and risk factors associated with it. Recent Findings: From a total of 3599 articles and 68 abstracts, 4 studies (1336 patients) were selected. The negative URS rate varied from 4 to 14%. Common predictors seem to be female gender, small stones, radiolucent stones and distal ureteric stones. Summary: Although infrequent, negative ureteroscopy should be avoided in patients with ureteric stones by performing a low-dose CT scan on the day of surgery. This should especially be performed for females and those with smaller, radiolucent or distal ureteric stones.
Text
Rice 2019 Article Negative Ureteroscopy For Stone Disease
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e-pub ahead of print date: 7 February 2019
Published date: 1 March 2019
Keywords:
Diagnostic, Negative, Stone, Stoneless, Ureteric, Ureteroscopy
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Local EPrints ID: 428274
URI: http://eprints.soton.ac.uk/id/eprint/428274
ISSN: 1527-2737
PURE UUID: 5b9fad34-03ea-44c2-af08-b596827bdffd
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Date deposited: 20 Feb 2019 17:30
Last modified: 16 Mar 2024 00:25
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Author:
Patrick Rice
Author:
Sarah Prattley
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