Comparison of External Ureteral Catheter and Double-J stent as Drainage Methods for Tubeless Percutaneous Nephrolithotomy: A Systematic Review and Meta-Analysis
ABSTRACT Purpose: The external ureteral catheter (EUC) and double-J stent (DJ-stent) are frequently used for drainage in tubeless percutaneous nephrolithotomy (PCNL). This study aims to compare the outcomes and effectiveness of these two methods. Materials and Methods: We conducted a detailed lite...
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Sociedade Brasileira de Urologia
2025-01-01
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| Series: | International Brazilian Journal of Urology |
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| author | Clarissa Tania Edwin Tobing Christiano Tansol |
| author_facet | Clarissa Tania Edwin Tobing Christiano Tansol |
| author_sort | Clarissa Tania |
| collection | DOAJ |
| description | ABSTRACT Purpose: The external ureteral catheter (EUC) and double-J stent (DJ-stent) are frequently used for drainage in tubeless percutaneous nephrolithotomy (PCNL). This study aims to compare the outcomes and effectiveness of these two methods. Materials and Methods: We conducted a detailed literature search using relevant key words on Google Scholar, Europe PMC, Medline, and Scopus databases. Continuous variables were combined using mean difference (MD), while binary variables were analysed using risk ratio (RR) with 95% confidence intervals through random-effects models. Results: Our analysis included nine studies. The results showed that EUC was associated with a significantly lower incidence of stent-related symptoms [RR 0.32 (95% CI 0.19 - 0.54), p < 0.0001, I² = 24%] compared to the DJ-stent. There were no significant differences between EUC and DJ-stent in terms of postoperative fever (p = 0.92), urine leakage (p = 0.21), perinephric collection (p = 0.85), haemoglobin drop (p = 0.06), transfusion rate (p = 0.27), VAS score (p = 0.67), analgesic requirements (p = 0.59), stone-free rate (p = 0.14), duration of surgery (p = 0.10), and duration of hospitalization (p = 0.50). Conclusion: The EUC demonstrated fewer stent-related symptoms than the DJ-stent in tubeless PCNL, while both methods showed comparable safety and efficacy. The choice between EUC and DJ-stent should consider patient preferences and surgeon expertise. Further randomized controlled trials (RCTs) with larger sample sizes are needed to affirm these results. |
| format | Article |
| id | doaj-art-975393dcaf144197a974b74d0013550a |
| institution | Kabale University |
| issn | 1677-6119 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj-art-975393dcaf144197a974b74d0013550a2025-02-04T07:37:12ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192025-01-0151110.1590/s1677-5538.ibju.2024.0356Comparison of External Ureteral Catheter and Double-J stent as Drainage Methods for Tubeless Percutaneous Nephrolithotomy: A Systematic Review and Meta-AnalysisClarissa Taniahttps://orcid.org/0000-0002-0149-3332Edwin TobingChristiano TansolABSTRACT Purpose: The external ureteral catheter (EUC) and double-J stent (DJ-stent) are frequently used for drainage in tubeless percutaneous nephrolithotomy (PCNL). This study aims to compare the outcomes and effectiveness of these two methods. Materials and Methods: We conducted a detailed literature search using relevant key words on Google Scholar, Europe PMC, Medline, and Scopus databases. Continuous variables were combined using mean difference (MD), while binary variables were analysed using risk ratio (RR) with 95% confidence intervals through random-effects models. Results: Our analysis included nine studies. The results showed that EUC was associated with a significantly lower incidence of stent-related symptoms [RR 0.32 (95% CI 0.19 - 0.54), p < 0.0001, I² = 24%] compared to the DJ-stent. There were no significant differences between EUC and DJ-stent in terms of postoperative fever (p = 0.92), urine leakage (p = 0.21), perinephric collection (p = 0.85), haemoglobin drop (p = 0.06), transfusion rate (p = 0.27), VAS score (p = 0.67), analgesic requirements (p = 0.59), stone-free rate (p = 0.14), duration of surgery (p = 0.10), and duration of hospitalization (p = 0.50). Conclusion: The EUC demonstrated fewer stent-related symptoms than the DJ-stent in tubeless PCNL, while both methods showed comparable safety and efficacy. The choice between EUC and DJ-stent should consider patient preferences and surgeon expertise. Further randomized controlled trials (RCTs) with larger sample sizes are needed to affirm these results.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382025000100300&lng=en&tlng=enKidney CalculiNephrolithotomyPercutaneousUrinary Catheters |
| spellingShingle | Clarissa Tania Edwin Tobing Christiano Tansol Comparison of External Ureteral Catheter and Double-J stent as Drainage Methods for Tubeless Percutaneous Nephrolithotomy: A Systematic Review and Meta-Analysis International Brazilian Journal of Urology Kidney Calculi Nephrolithotomy Percutaneous Urinary Catheters |
| title | Comparison of External Ureteral Catheter and Double-J stent as Drainage Methods for Tubeless Percutaneous Nephrolithotomy: A Systematic Review and Meta-Analysis |
| title_full | Comparison of External Ureteral Catheter and Double-J stent as Drainage Methods for Tubeless Percutaneous Nephrolithotomy: A Systematic Review and Meta-Analysis |
| title_fullStr | Comparison of External Ureteral Catheter and Double-J stent as Drainage Methods for Tubeless Percutaneous Nephrolithotomy: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Comparison of External Ureteral Catheter and Double-J stent as Drainage Methods for Tubeless Percutaneous Nephrolithotomy: A Systematic Review and Meta-Analysis |
| title_short | Comparison of External Ureteral Catheter and Double-J stent as Drainage Methods for Tubeless Percutaneous Nephrolithotomy: A Systematic Review and Meta-Analysis |
| title_sort | comparison of external ureteral catheter and double j stent as drainage methods for tubeless percutaneous nephrolithotomy a systematic review and meta analysis |
| topic | Kidney Calculi Nephrolithotomy Percutaneous Urinary Catheters |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382025000100300&lng=en&tlng=en |
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