Einfluss der Ureterschienung vor ureterorenoskopischer Behandlung von Harnleitersteinen

  title={Einfluss der Ureterschienung vor ureterorenoskopischer Behandlung von Harnleitersteinen},
  author={J. Mu{\^e}ller and N. Riechert-M{\"u}he and Andres Jan Schrader and A. Leitenberger and Julie Steinestel and Markus A. Kuczyk and Stefan Steffens and Rainer M. Hofmann and J. A. Sotelino},
  journal={Der Urologe},
ZusammenfassungHintergrund und FragestellungDie Urolithiasis stellt bei weltweit steigender Inzidenz eine zunehmende Belastung der Gesundheitssysteme dar. Die Ureterorenoskopie (URS) zur Steinextraktion gehört zu den Standardtherapieverfahren bei Harnleitersteinen. Um die Erfolgsrate der URS zu erhöhen und die Zahl an Komplikationen zu reduzieren, wurde bereits in der Vergangenheit die präoperative Harnleiterschienung („Prestenting“) als adäquates Mittel beschrieben. Die Datenlage hierzu ist… 
2 Citations
International Collaboration in Endourology: Multicenter Evaluation of Prestenting for Ureterorenoscopy
Semirigid and flexible ureterorenoscopy procedures are safe and efficient treatment options for urolithiasis of all localizations and prestenting had significant influence on the stone-free rate (SFR) and complication rate (6...
Effect of Prestenting on Success and Complication Rates of Ureterorenoscopy in Pediatric Population.
Prestenting was found to increase the success rate of URS in cases of larger stones and ureteral stones in pediatric population and provides lower, but insignificant, complication rates.


Management des Uretersteins
The investigation of acute flank pain by diagnostic imaging targets on the confirmation of the suspected ureteral stone and the exclusion of other diseases is investigated.
Does stone dimension affect the effectiveness of ureteroscopic lithotripsy in distal ureteral stones?
The effectiveness of Ureterorenoscopy (URS) in the treatment of distal ureteral stones was independent of stone dimension, however, the operative time was longer and the rate of perforation was higher in stones with a diameter ≥1 cm.
Predictive factors for intraoperative complications in semirigid ureteroscopy: analysis of 1235 ballistic ureterolithotripsies.
Larger stones, proximally located (iliac vessels or above) with previous in situ ESWL in men are preoperative predictors for intraoperative complications.
Impact of ureteral stenting prior to ureterorenoscopy on stone-free rates and complications
Stent placement prior to ureteroscopic stone treatment in distal Ureter is not reasonable and does not considerably improve stone-free rates.
Randomized evaluation of Ureteral Stents using validated Symptom Questionnaire.
The Bard Inlay stent is associated with less-severe urinary symptoms than other ureteral stents, and the USSQ is a sensitive tool to measure differences between stents.
The difficult ureter: what is the incidence of pre-stenting?
The incidence of ureteric pre-stenting in a tertiary referral unit was 8% and should be considered and indeed discussed with patients when obtaining pre-operative consent, especially for purely elective, non-urgent, upper tract cases.
Prestenting improves ureteroscopic stone-free rates.
Although routine stent placement is not necessary before all ureteroscopic procedures, it is demonstrated that it is associated with good stone-free rates and few complications.
Impact of preoperative ureteral stenting on outcome of ureteroscopic treatment for urinary lithiasis.
Results show that ureteropyeloscopic lithotripsy and stone extraction may be performed with a high success rate and was significantly inversely related to stone size, cumulative stone burden and number of stones.
The difficult ureter: stent and come back or balloon dilate and proceed with ureteroscopy? What does the evidence say?
What evidence, if any, exists to support the theory that actively dilating the ureter especially with a balloon carries a significant risk and the advantages and benefits of both approaches are examined so that endourologists are able to make an informed decision are examined.
Passive dilation by ureteral stenting before ureteroscopy: eliminating the need for active dilation.
This study shows that passive dilation of the ureteral orifice in preparation for Ureteroscopy is a straightforward, successful and beneficial technique in children, with no associated complications.