| Autor: |
Brain, Eleanor, Geraghty, Robert M., Tzelves, Lazaros, Mourmouris, Panagiotis, Chatzikrachtis, Nikolaos, Karavitakis, Markos, Skolarikos, Andreas, Somani, Bhaskar K. |
| Předmět: |
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| Zdroj: |
BJU International; Jul2024, Vol. 134 Issue 1, p22-30, 9p |
| Abstrakt: |
Objective: To determine whether preoperative use of JJ stents in patients undergoing shockwave lithotripsy (SWL) impacts on stone clearance and the rate of postoperative complications. Patients and Methods: We screened multiple databases from inception to January 2021, using the relevant search terms for SWL in patients with a preoperative stent. Inclusion criteria were randomised controlled trials of ≥20 patients aged >18 years who had had SWL with a JJ stent. This review has been registered in the International Prospective Register of Systematic Reviews (PROSPERO; registration number CRD42023443195). Statistical analysis was performed using 'meta' in R. Results: There were seven eligible studies (403 patients receiving JJ stents and 394 controls). There was no significant difference in the stone‐free rate (SFR) following SWL with a JJ stent compared to SWL alone. When considering the complication rates, there was a significantly reduced risk of steinstrasse in patients with a JJ stent. However, there was no significant difference in the risk of other complications including pain, fever, and haematuria, and no significant difference in the likelihood of requiring auxiliary procedures or re‐treatment. Conclusions: There was a reduced risk of steinstrasse in patients undergoing SWL with a JJ stent compared to SWL alone. However, there was no significant difference in the risk of other postoperative complications. Use of a JJ stent had no effect on the efficacy of SWL, with no significant difference in the SFR. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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