Furthermore, unless a pull string is routinely used at the

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pandora essence Routine placement of ureteric stents, however, is accompanied by recognised potentially troublesome urinary symptoms or morbidity, or both.3 4 Related complications such as migration, infection, pyelonephritis, breakage, encrustation, and stone formation are not uncommon.5 Placement of ureteric stents results in additional costs. Furthermore, unless a pull string is routinely used at the distal end of the stent, secondary cystoscopy is required to remove the stent, which has cost implications and the potential to add to the disruption of patients’ lives.Ureteroscopy is now performed with small calibre endoscopes and better intracorporeal lithotripsy devices such as holmium laser so that most patients can be treated without ureteric dilation. As a result, the need for a postprocedural stent remains questionable.We determined the evidence that outcome with routine ureteric stent placement after uncomplicated ureteroscopy is inferior to that without stent placement.MethodsSearch strategyWe obtained relevant trials from the Cochrane renal group’s specialised register of randomised controlled trials; the Cochrane central register of controlled trials 2006; Medline and PreMedline (1966 to 31 January 2006); Embase (1980 to 31 January 2006); reference lists of urology textbooks, review articles, and relevant trials; and abstracts of conference proceedings.To be included randomised controlled trials had to compare stenting with no stenting after uncomplicated ureteroscopy in adults with a clinical diagnosis of ureteric stone who required intervention or who were undergoing diagnostic or therapeutic ureteroscopy for upper tract transitional cell carcinoma and had at least one of the predetermined outcomes of interest.Outcome measuresOutcomes of interest were pain rated by patients on a validated scale, need for analgesia pandora charms, lower urinary tract symptoms, unplanned medical visits or admission to hospital, complications related to the stent (such as migration, encrustation, fragmentation, ureteric erosion, and fistulas), return to normal physical activities, participants’ satisfaction, health economics and health related quality of life pandora essence.

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