Comparison of nephroscopy and cystoscopy used in the treatment of bladder stones: a systematic review and meta-analysis of randomized controlled trials

A systematic review and meta-analysis was conducted to compare the safety and efficiency of nephroscopy and cystoscopy in transurethral cystolithotripsy (TUCL) for bladder stones (BS). The PubMed, Web of Science, Embase, EBSCO, and Cochrane Library databases were searched up to January 2021 for stud...

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Bibliographic Details
Published in:BMC surgery 2021-12, Vol.21 (1), p.448-448, Article 448
Main Authors: Gou, Liping, Wang, Zhenghao, Zhou, Ye, Zheng, Xiaofeng
Format: Article
Language:English
Subjects:
Bladder
Calculi
Clinical trials
Comparative analysis
Complications
Cystoscope
Cystoscopy
Efficiency
Endoscopes
Endoscopic treatments
Endoscopy
Hematuria
Heterogeneity
Hospitalization
Humans
Laparoscopy
Lithotripsy
Meta-analysis
Nephroscope
Operative Time
Patients
Randomized Controlled Trials as Topic
Sensitivity analysis
Stone
Surgery
Systematic review
Transurethral
Urinary Bladder Calculi - surgery
Urogenital system
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Summary:A systematic review and meta-analysis was conducted to compare the safety and efficiency of nephroscopy and cystoscopy in transurethral cystolithotripsy (TUCL) for bladder stones (BS). The PubMed, Web of Science, Embase, EBSCO, and Cochrane Library databases were searched up to January 2021 for studies assessing the effect of different types of endoscopes among patients who underwent TUCL. The search strategy and study selection process were in accordance with the PRISMA statement. Five randomized controlled trials were included in the meta-analysis. The results showed no difference in stone-free rate (RR = 1.00, CI = 0.98-1.02, p = 1.00) between the two groups and nonsignificant heterogeneity (I  = 0%, p = 1.00), and all patients were rendered stone free. Use of the nephroscope significantly shortened the operative time compared with the cystoscope group (RR= - 26.26, CI = - 35.84 to - 16.68, p 
ISSN:1471-2482
1471-2482
DOI:10.1186/s12893-021-01461-3