SynthesisInternational braz j urol : official journal of the Brazilian Society of Urology
Nephrostomy tube versus double J ureteral stent in patients with malignant ureteric obstruction. A systematic review and meta-analysis of comparative studies.
Synthesis in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Predictors of success and failure in outpatient ureteral stenting under local anaesthesia: a systematic review and proposed clinical guide from EAU Endourology.World journal of urology · 2026Pooled it
- Comparison of clinical outcomes between metallic and polymeric ureteral stents in malignant ureteral obstruction: a retrospective comparative study.BMC urology · 2026Article
- Immunosuppression Masking a Urological Emergency: A Case Report of Bilateral Infected Obstructed Kidneys.Cureus · 2025Article
- Article
- Review
- Antegrade Ureteral Stenting in Pediatric Patients: Introducing a Novel Ureteral Morphological Classification and a New Perspective on Functional Success.Journal of clinical medicine · 2025Article
- Impact of urinary diversion on survival in locally advanced cervical carcinoma with obstructive uropathy in Tanzania.Ecancermedicalscience · 2025Article
- Virulence traits and bacterial interactions within the complex microbial population in urinary double-J catheters.Frontiers in microbiology · 2025Article
- Outcomes of nephrostomy and double J stent in malignant ureteral obstruction in the Palestinian practice.BMC urology · 2024Article
- [Palliative surgery for metastatic prostate cancer].Urologie (Heidelberg, Germany) · 2024Review
- Relationship between Urinary Parameters and Double-J Stent Encrustation.Journal of clinical medicine · 2023Article
- Survival Outcome of Urinary Diversion in Advanced Cervical Cancer Patients with Hydronephrosis.Asian Pacific journal of cancer prevention : APJCP · 2023Article
- Analysis of Characteristics, Pathogens and Drug Resistance of Urinary Tract Infection Associated with Long-Term Indwelling Double-J Stent.Infection and drug resistance · 2023Article
- Acute kidney injury due to bilateral malignant ureteral obstruction: Is there an optimal mode of drainage?World journal of nephrology · 2022Review
- Surgical treatment of pelvic lipomatosis: a systematic review of 231 cases.Therapeutic advances in urologyReview
- Primary monosymptomatic nocturnal enuresis highlighted in this number of International Brazilian Journal of Urology.International braz j urol : official journal of the Brazilian Society of UrologyArticle
Corrections and comments
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Authors and funding
12 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe aimed to perform a systematic review to assess perioperative outcomes, complications, and survival in studies comparing ureteral stent and percutaneous nephrostomy in malignant ureteral obstruction. MATERIALS AND
methodsThis review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework. Meta-analyses were performed on procedural data; outcomes; complications (device-related, accidental dislodgement, febrile episodes, unplanned device replacement), dislodgment, and overall survival. Continuous variables were pooled using the inverse variance of the mean difference (MD) with a fixed effect, and 95% confidence interval (CI). The incidences of complications were pooled using the Cochran-Mantel-Haenszel method with the random effect model and reported as Odds Ratio (OR), and 95% CI. Statistical significance was set two-tail p-value < 0.05 Results: Ten studies were included. Procedure time (MD -10.26 minutes 95%CI -12.40-8.02, p< 0.00001), hospital stay (MD -1.30 days 95%CI -1.69 - -0.92, p< 0.0001), number of accidental tube dislodgments (OR 0.25 95% CI 0.13 - 0.48, p< 0.0001) were significantly lower in the stent group. No difference was found in mean fluoroscopy time, decrease in creatinine level post procedure, overall number of complications, interval time between the change of tubes, number of febrile episodes after diversion, unplanned device substitution, and overall survival.
conclusionOur meta-analysis favors stents as the preferred choice as these are easier to maintain and ureteral stent placement should be recommended whenever feasible. If the malignant obstruction precludes a stent placement, then PCN is a safe alternative.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.