Ureteroscopy: Opinion – No Stents

  • J. Stuart WolfJr.


Ureteral stent placement is not necessary following uncomplicated ureteroscopy, as stenting in such cases subjects the patient to stent-related symptoms but does not reduce the incidence of postoperative complications, including unplanned medical visits and readmissions. The utility of ureteral stent placement depends on what constitutes uncomplicated ureteroscopy. In this commentary, I argue that uncomplicated ureteroscopy includes a large portion of these procedures and that efforts can be made to increase the likelihood that the ureteroscopy is an uncomplicated one, such that ureteral stent placement is unnecessary following many ureteroscopies. Avoiding ureteral stent placement when it is not necessary saves time and money, and reduces patient suffering.


Stent Placement Lower Urinary Tract Symptom Hospital Readmission Ureteral Stone Unplanned Readmission 
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  1. Hollenbeck BK, Schuster TG, Seifman BD et al (2003) Identifying patients who are suitable for stentless ureteroscopy following treatment for urolithiasis. J Urol 170:103–106PubMedCrossRefGoogle Scholar
  2. John TT, Razdan S (2010) Adjunctive tamsulosin improves stone free rate after ureteroscopic lithotripsy of large renal and ureteric calculi: a prospective randomized study. Urology 75:1040–1042PubMedCrossRefGoogle Scholar
  3. Pengfei S, Yutao L, Jie Y et al (2011) The results of ureteral stenting after ureteroscopic lithotripsy for ureteral calculi: a systematic review and meta-analysis. J Urol 186:1904–1909PubMedCrossRefGoogle Scholar
  4. Song T, Liao B, Zheng S et al (2011) Meta-analysis of postoperatively stenting or not in patients underwent ureteroscopic lithotripsy. Urol Res. doi: 10.1007/s00240-011-0385-7
  5. Tan H-J, Strope SA, He C et al (2011) Immediate unplanned admission following outpatient ureteroscopy for stone disease. J Urol 185:2181–2185PubMedCrossRefGoogle Scholar
  6. Tang L, Gao X, Xu B et al (2011) Placement of ureteral stent after uncomplicated ureteroscopy: do we really need it? Urology. doi: 10.1016/j.urology.2011.05.004

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department of UrologyUniversity of MichiganAnn ArborUSA

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