Cochrane · systematic review · CD012703

Ureteral stent versus no ureteral stent for ureteroscopy in the management of renal and ureteral calculi

Ordonez, M, Hwang, EC, Borofsky, M, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

UrologyAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 55.6%Low 2 · 22.2%Moderate 2 · 22.2%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

URS with stent placement compared to URS with no stent placement for ureteroscopy in the management of renal and ureteral calculi

9 questions
OutcomeEffectEvidenceStatus / GRADE
Unplanned return visit to emergency/urgent care department
URS with stent placement vs URS with no stent placement
RR 0.69 [0.4, 1.21]16 studies · 1970 participantsVery low
Downgraded: risk of bias
Postoperative pain day 0
URS with stent placement vs URS with no stent placement
no estimate extracted4 studies · 346 participantsModerate
Downgraded: risk of bias
Postoperative pain day 1 to day 3
URS with stent placement vs URS with no stent placement
no estimate extracted8 studies · 683 participantsLow
Downgraded: risk of bias
Postoperative pain day 4 to day 30
URS with stent placement vs URS with no stent placement
no estimate extracted8 studies · 903 participantsVery low
Downgraded: risk of bias
Secondary interventions
URS with stent placement vs URS with no stent placement
RR 1.15 [0.39, 3.33]10 studies · 1435 participantsLow
Downgraded: risk of bias
Narcotic requirement
URS with stent placement vs URS with no stent placement
RR 0.8 [0.48, 1.36]7 studies · 830 participantsVery low
Downgraded: risk of bias
UTI (positive urine culture as well as symptoms) up to 90 days
URS with stent placement vs URS with no stent placement
RR 0.94 [0.59, 1.51]10 studies · 1207 participantsModerate
Downgraded: risk of bias
Ureteral stricture up to 90 days
URS with stent placement vs URS with no stent placement
RR 0.58 [0.23, 1.47]14 studies · 1625 participantsVery low
Downgraded: risk of bias
Hospital admission
URS with stent placement vs URS with no stent placement
RR 0.7 [0.32, 1.55]13 studies · 1647 participantsVery low
Downgraded: risk of bias