Stented versus stentless pyeloplasty in adults: A systematic review of surgical outcomes and complications.
Introduction: Ureteropelvic junction obstruction causes upper urinary tract obstruction, resulting in pain, infections, and renal impairment. Pyeloplasty with Double-J stents is the standard treatment, but stents cause significant morbidity. Stentless approaches may reduce symptoms while maintaining...
| Publicado en: | Indian Journal of Urology Vol. 42; no. 1; pp. 6 - 16 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wolters Kluwer India Pvt Ltd
Jan-Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190532753&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190532753 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09701591 1KUG jtl: Indian Journal of Urology issn: 09701591 maglogo: N pubinfo: dt: Jan-Mar2026 vid: 42 iid: 1 pid: 16919 pub: Wolters Kluwer India Pvt Ltd artinfo: ui: 190532753 190532753 190532753 10.4103/iju.iju_318_25 190532753 ppf: 6 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Stented versus stentless pyeloplasty in adults: A systematic review of surgical outcomes and complications. aug: au: Mittal, Ankur Subramanyam, Anumanchi Dattasai Panwar, Vikas Kumar Singh, Deelip Kumar Agrawal, Omang affil: Department of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India sug: subj: Stents Utilization Ureteral Obstruction Surgery Surgery, Urogenital Methods Postoperative Complications Treatment Outcomes Evaluation Human Systematic Review Male Female Adult PubMed Embase Cochrane Library Urination Ureteral Obstruction Radiography Nuclear Medicine Reoperation Postoperative Complications Risk Factors Risk Assessment Anastomosis, Surgical Length of Stay Fibrin Tissue Adhesive Kidney Physiology Glomerular Filtration Rate Evaluation Checklists Descriptive Statistics Data Analysis Software Adult: 19-44 years Male Female ab: Introduction: Ureteropelvic junction obstruction causes upper urinary tract obstruction, resulting in pain, infections, and renal impairment. Pyeloplasty with Double-J stents is the standard treatment, but stents cause significant morbidity. Stentless approaches may reduce symptoms while maintaining efficacy. Methods: Systematic review following Preferred Reporting Items for Systematic Reviews and Meta-analyses 2020 guidelines (International Prospective Register of Systematic Reviews: CRD42025643943). PubMed, Embase, and Cochrane were searched through March 2025. "Studies comparing stented versus stentless pyeloplasty in adults (≥18 years) were included". Primary outcomes were surgical success and complications. Secondary outcomes included urinary leakage, reintervention, and hospital stay. Narrative synthesis was performed due to heterogeneity. Results: Ten studies encompassing 5820 patients were included, comprising one randomized controlled trial, four prospective, and five retrospective studies. Success rates ranged from 66.7% to 100% for stented procedures and 88%–100% for stentless approaches, with no significant difference in most studies. Stented patients experienced higher rates of lower urinary tract symptoms (64.7%–100%) compared to stentless groups (0%–3.8%), as well as hematuria (27%–95.4%) versus 0%–4.3%, with variable urinary tract infection rates. Stentless groups showed increased urinary leakage up to 24%, though mostly self-limited. Twenty-three stentless patients required secondary stenting, while thirteen stented patients needed reintervention for stricture or complications. Conclusions: Stentless pyeloplasty is effective in selected adults, significantly reducing stent-related morbidity without compromising success rates when performed with meticulous technique and appropriate patient selection. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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