Evidence map›Paper›PMID 42661002›Full record

ReviewWorld journal of urology2026

Choosing the optimal ureteral stent design, size, and material in different situations: a review from the European association of urology endourology.

Furkan Guldibi, Umit Ozdemir, Mahmut Calıskan, Omer Faruk Cavdar, Erkan Arslan, Daniele Castellani, Vineet Gauhar, Bhaskar K Somani, Selcuk Guven, Theodoros Tokas

Abstract readReview
PubMed Publisher
In one paragraph

Review in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Furkan GuldibiFaculty of Medicine, Urology Department, Necmettin Erbakan University, Konya, Turkey.
Umit OzdemirFaculty of Medicine, Urology Department, Necmettin Erbakan University, Konya, Turkey.
Mahmut CalıskanFaculty of Medicine, Urology Department, Necmettin Erbakan University, Konya, Turkey.
Omer Faruk CavdarFaculty of Medicine, Urology Department, Necmettin Erbakan University, Konya, Turkey.
Erkan ArslanFaculty of Medicine, Urology Department, Necmettin Erbakan University, Konya, Turkey.
Daniele CastellaniSection of Endourology of the European Association of Urology, Arnhem, The Netherlands.
Vineet GauharSection of Endourology of the European Association of Urology, Arnhem, The Netherlands.
Bhaskar K SomaniSection of Endourology of the European Association of Urology, Arnhem, The Netherlands.
Selcuk GuvenFaculty of Medicine, Urology Department, Necmettin Erbakan University, Konya, Turkey. selcukguven@hotmail.com.ORCID https://orcid.org/0000-0002-5009-8435
Theodoros TokasSection of Endourology of the European Association of Urology, Arnhem, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUreteral stents are widely used to maintain upper urinary tract drainage in diverse clinical scenarios; however, guidance on selecting the optimal stent configuration remains limited. This narrative review evaluates the clinical relevance of ureteral stent design, size, material composition, and surface coating technologies to support evidence-based device selection in routine practice.

methodsA focused narrative literature review was conducted using the PubMed, Scopus, and Web of Science databases, supplemented by cross-referencing key publications. Studies addressing the structural characteristics, biomaterial properties, and coating technologies of ureteral stents, as well as their clinical implications, were appraised thematically.

resultsConventional double-J stents remain the most used configuration. However, several modifications-including loop-tail, extraction-string, magnetic-tip, and multilength designs-have been introduced to improve positioning accuracy and patient comfort. Alternative stent types, such as mono-J, suture, anti-reflux, grooved, and tumor stents, offer scenario-specific advantages in selected indications. Material composition, particularly silicone and polyurethane-based platforms, significantly influences flexibility, handling characteristics, resistance to encrustation, and patient tolerance. Surface engineering strategies-including lubricating, antimicrobial, anti-fouling, and drug-eluting coatings-aim to reduce infection, biofilm formation, and stent-related symptoms, although clinical evidence remains heterogeneous. Structural parameters such as diameter and length are key determinants of symptom burden and quality of life.

conclusionOptimal ureteral stent selection requires individualized evaluation of device design, material properties, size, and coating technologies. No single stent configuration demonstrates universal superiority across all clinical scenarios; therefore, indication-specific selection remains essential to optimize drainage efficiency and minimize complications.

Indexed as

Prosthesis DesignStentsUreterEuropeHumansUrologyDouble-J stentStent diameterStent materialSurface coatingUreteral stent

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.