Evidence map›Paper›PMID 40786279›Full record

ReviewCureus2025

Association Between Stone Composition and Recurrence Rates Following Ureteroscopy: A Scoping Review.

Althea O George, Mayowa Adefehinti, Minwook Lee, Ajibola A Adebisi, Ayodele Odedara, Raymond Omiko, Mobolaji Akinwale, Steven Ndonga, Adeyeye Olalekan, Abdulhameed Yusuf and 3 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Althea O GeorgeSurgery/Urology, The Royal London Hospital, London, GBR.
Mayowa AdefehintiUrology, Peterborough City Hospital, Peterborough, GBR.
Minwook LeeUrology, The Royal London Hospital, London, GBR.
Ajibola A AdebisiGeneral Surgery, Epsom and St. Helier University Hospitals NHS Foundation Trust, London, GBR.
Ayodele OdedaraTrauma and Orthopaedics, Royal Shrewsbury Hospital, Shrewsbury, GBR.
Raymond OmikoSocial Policy, University of Strathclyde, Glasgow, GBR.
Mobolaji AkinwaleUrology, Peterborough City Hospital, Peterborough, GBR.
Steven NdongaUrology, Peterborough City Hospital, Peterborough, GBR.
Adeyeye OlalekanUrology, Surgery Interest Group of Africa, Lagos, NGA.
Abdulhameed YusufGeneral Surgery, Epsom and St. Helier University Hospitals NHS Foundation Trust, London, GBR.
Sahar AliEmergency Medicine, Glan Clwyd Hospital, Bodelwyddan, GBR.
Reginald OnonyeUrological Surgery, Stepping Hill Hospital, Stockport NHS Foundation Trust, Stockport, GBR.
Daniel E OnobunOrthopaedics and Trauma, Sheffield Teaching Hospitals NHS Foundation Trust, Warwick, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urolithiasis remains a significant global health burden, with high recurrence rates following intervention. Ureteroscopy is increasingly preferred due to its safety and efficacy; however, recurrence after ureteroscopy is common and may be influenced by stone composition. This scoping review aims to explore the relationship between stone composition and recurrence rates post-ureteroscopy and to identify gaps in current evidence that could inform clinical practice and research. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines, we conducted a structured literature search (2014-2024) across PubMed, Scopus, MEDLINE, and Google Scholar. Studies were eligible if they reported on adult patients (≥18 years) undergoing ureteroscopy for renal or ureteric stones, provided stone composition data, and reported recurrence (defined radiologically, symptomatically, or via reintervention). Retrospective/prospective cohort studies, clinical trials, and case series (n >10) in English were included. Non-English, paediatric-only studies, case reports, and those lacking recurrence or composition data were excluded. In total, 13 studies met the inclusion criteria. Calcium oxalate was the most frequently reported stone type and appeared to be associated with higher recurrence rates. Reported recurrence ranged from 25.8% at 32 months to nearly 60% at 36 months, particularly in patients without metabolic follow-up. Reporting of uric acid, struvite, and cystine stones was inconsistent, limiting firm conclusions. The majority of studies were retrospective, small-scale, and lacked standardised definitions of recurrence, often conflating residual fragments with true recurrence. Language restriction and lack of granular metabolic data further limited synthesis. Stone composition appears to influence recurrence risk post-ureteroscopy, particularly for calcium-based stones. However, variability in study design, recurrence definitions, and underreporting of metabolic data reduce the strength of current evidence. Future prospective research with standardised reporting and broader linguistic inclusion is essential.

Indexed as

stentstone compositionureteric stonesureteroscopyurolithiasisurology

Identifiers

PMID40786279
PMCPMC12333563

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Registered trials

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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.