American Urological Association Endourological Society Guideline Statement 2016 recommends Ureteroscopy as first line therapy in patients with mid or distal ureteral stones who require intervention (who were not candidates for or who failed Medical Expulsive Therapy) with Evidence Level Grade B.1 European Association of Urology Guideline 2016 also recommends Ureteroscopy over Shock Wave Lithotripsy for ureteral stones if indicated for active stone removal - Recommendation Grade A.2 Semirigid ureteroscopes remain the most commonly used type of scope for access to the upper urinary tract.3
Stents should be inserted in patients who are at increased risk of complications (e.g., ureteral trauma, residual fragments, bleeding, perforation, Urinary Tract …show more content…
Stenting is associated with higher post-operative morbidity in terms of increased dysuria, frequency/urgency, hematuria, flank and suprapubic pain.7-9 Stent requires cystoscopic removal which is not without a small incidence of morbidity, including infection. The disadvantage of omission of stent may be increased risk of unplanned hospital
Stents should be inserted in patients who are at increased risk of complications (e.g., ureteral trauma, residual fragments, bleeding, perforation, Urinary Tract …show more content…
Stenting is associated with higher post-operative morbidity in terms of increased dysuria, frequency/urgency, hematuria, flank and suprapubic pain.7-9 Stent requires cystoscopic removal which is not without a small incidence of morbidity, including infection. The disadvantage of omission of stent may be increased risk of unplanned hospital