Is routine ureteral stenting really necessary after retrograde intrarenal surgery?

Abstract

Routine double-J stent insertion after RIRS is not essential since it increases costs, morbidity and operation time.

Böbrek taşlarına uygulanan fleksibl üreterorenoskopi sonrası stent yerleştirilmesi son takipte taşsızlık oranını arttırabilir: Retrospektif tek merkezli çalışma

“…It has been reported that stenting after ureteroscopic stone management caused longer operative time [6]. However stenting after FURS led to the shorter operative times in the previous research [3], in our study operative time was longer in group 1.…”

“…Nevertheless, a few studies have investigated the effect of intra-operative D/J stent placement on the stone-free rate following additional treatment. It was shown that D/J stent insertion could lessen the pain in FURS, although there was no benefit for stone free-status at first postoperative month [2,3]. However ureteral stent could be used for pain relief with a shorter operative time [10].…”

Case Report: An occurrence of steinstrasse in retrograde intra renal surgery (RIRS) for large staghorn kidney stone: a difficult experience in managing surgical outcomes

“…The primary purpose of stent insertion is to prevent ureteral stricture, accelerate healing, and facilitate stone passing 16 . On the other hand, stent insertion increases the possibility of urinary tract infection, dysuria, pollakiuria, hematuria, and may require repeated cystoscopy in cases of stent migration and need for extraction 17 . Stent insertion before ESWL does not eliminate the need for intervention in the management of SS 18 .…”

Retrograde intrarenal surgery for renal stones - Part 1

“…[46] In a series of 319 uncomplicated patients undergoing RIRS without previous stenting, 11.9% of the them needed urgent stenting; and male sex and stone located in the proximal ureter were found to be risk factors. [47] Ozyuvali et al [48] reported that no stenting was needed after RIRS as it increased the cost, morbidity and operation time in their study including 162 renal units. On the other hand, they found higher postoperative pain scores in patients with stones larger than 15 mm or located in renal pelvis.…”