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| Prevention strategies for ureteral stricture following ureteroscopic lithotripsy |
Dong Hao,Peng Yonghan,Li Ling,Gao Xiaofeng( )
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| Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, China |
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Abstract Ureteral stricture formation after ureteroscopic lithotripsy is a late complication that can lead to hydronephrosis and a subsequent risk of renal deterioration. The specific incidence is unknown, and the mechanism of stricture formation has not been completely explained. In this review, we summarize the current evidence regarding the incidence of this condition and discuss its pathogenesis. We then list preventive strategies to reduce the morbidity of ureteral strictures.
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Received: 13 January 2017
Published: 09 June 2018
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Flowchart for article selection of the review.
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| Study | No. of patients | Age (year) | Stone size (mm)b | Stone location | Impacted rate (%) | Type of ureteroscopy | Type of lithotripsy | Ureters cope size (Fr) | No. of stricture | Mean follow-up (month) | Incidence (%) | | Proximal | Middle | Distal | | Roberts et al., 1998 [8]a | 21 | 41.6 | 10.3 | 3 | 8 | 10 | 100 | R | LL | 7-10 | 5 | 7.0 | 23.81 | | Weizer et al., 2002 [9] | 241 | 47.2 | 3-35 | 56 | 111 | 74 | - | R/F | LL | - | 3 | 5.4 | 1.24 | | Brito et al., 2006 [10]a | 42 | 23-72 | 5-20 | 9 | 12 | 21 | 100 | R | PL | 8.5 | 6 | 6.0 | 14.29 | | El-Abd et al., 2014 [5] | 1950 | - | - | 789 | - | 1161 | - | R/F | LL/PL | 7.4-8.5 | 12 | 7.6 | 0.6 | | Adiyat et al., 2009 [11] | 214 | 48.3 | 10.85 | 114 | 42 | 58 | 5.14 | R/F | LL | 6-7.5 | 3 | 14.5 | 1.40 | | Binbay et al., 2011 [12]a | 80 | 39.9 | - | 12 | 21 | 47 | 100 | R | LL/PL | 8.5 | 1 | 15 | 1.25 | | de la Rosette et al., 2014 [3] | 10 511 | 48.7 | - | 3101 | 2390 | 5020 | 27.2 | R/F | LL/PL/
UL/EL | - | 36 | - | 0.30 | | Li et al., 2015 [13] | 982 | 41.9 | 5-15 | - | 387 | 595 | - | R | LL/PL | 7.5 | 29 | 12 | 2.95 | | Fam et al., 2015 [14] | 64 | - | - | 21 | 15 | 28 | 100 | R | LL | 6.5 | 5 | 7.0 | 7.81 | | Combined | 14?105 | - | - | 4105 | 2986 | 7014 | - | - | - | - | 100 | 9.3 | 0.71 |
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