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. 2024 Jul 13;42(1):412.
doi: 10.1007/s00345-024-05103-0.

An international delphi survey and consensus meeting to define the risk factors for ureteral stricture after endoscopic treatment for urolithiasis

Stefano Moretto  1   2 , A Saita  3 , C M Scoffone  4 , M Talso  5 , B K Somani  6 , O Traxer  7 , O Angerri  8 , E Liatsikos  9 , Y Ulvik  10 , C M Cracco  4 , E X Keller  11 , A Pietropaolo  6 , T Tailly  12 , M Corrales  7 , V De Coninck  13 , U Nagele  14 , S Ferretti  15 , P Kronenberg  16 , L Carmignani  17 , P J Osther  18 , I K Goumas  19 , L Ajayi  20 , P Acquati  21 , D Perez-Fentes  22 , T R W Herrmann  23   24   25 , N M Buffi  26   3
Affiliations

An international delphi survey and consensus meeting to define the risk factors for ureteral stricture after endoscopic treatment for urolithiasis

Stefano Moretto et al. World J Urol. .

Abstract

Purpose: Iatrogenic ureteral strictures (US) after endoscopic treatment for urolithiasis represent a significant healthcare concern. However, high-quality evidence on the risk factors associated with US is currently lacking. We aimed to develop a consensus statement addressing the definition, risk factors, and follow-up management of iatrogenic US after endoscopic treatment for urolithiasis.

Methods: Utilizing a modified Delphi method, a steering committee developed survey statements based on a systematic literature review. Then, a two-round online survey was submitted to 25 experts, offering voting options to assess agreement levels. A consensus panel meeting was held for unresolved statements. The predetermined consensus threshold was set at 70%.

Results: The steering committee formulated 73 statements. In the initial survey, consensus was reached on 56 (77%) statements. Following in-depth discussions and refinement of 17 (23%) statements in a consensus meeting, the second survey achieved consensus on 63 (86%) statements. This process underscored agreement on pivotal factors influencing US in endoscopic urolithiasis treatments.

Conclusions: This study provides a comprehensive list of categorized risk factors for US following endoscopic urolithiasis treatments. The objectives include enhancing uniformity in research, minimizing redundancy in outcome assessments, and effectively addressing risk factors associated with US. These findings are crucial for designing future clinical trials and guiding endoscopic surgeons in mitigating the risk of US.

Keywords: Endoscopic surgery; Iatrogenic ureteral injury; Risk factors; Stone disease; Stone treatment; Ureteral stricture.

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References

    1. EAU Guidelines Edn. presented at the EAU Annual Congress Milan 2023. ISBN 978-94-92671-19-6
    1. Tonyali S, Yilmaz M, Tzelves L et al (2023) Predictors of Ureteral strictures after Retrograde Ureteroscopic treatment of impacted Ureteral stones: a systematic literature review. J Clin Med 12:3603. https://doi.org/10.3390/jcm12103603 - DOI - PubMed - PMC
    1. Moretto S, Saita A, Scoffone CM et al (2024) Ureteral stricture rate after endoscopic treatments for urolithiasis and related risk factors: systematic review and meta-analysis. World J Urol 42:234. https://doi.org/10.1007/s00345-024-04933-2 - DOI - PubMed
    1. Hasson F, Keeney S, McKenna H (2000) Research guidelines for the Delphi survey technique. J Adv Nurs 32:1008–1015 - DOI - PubMed
    1. Witjes JA, Babjuk M, Bellmunt J et al (2020) EAU-ESMO Consensus statements on the management of advanced and variant bladder Cancer-An International Collaborative Multistakeholder Effort†: under the auspices of the EAU-ESMO guidelines committees. Eur Urol 77:223–250. https://doi.org/10.1016/j.eururo.2019.09.035 - DOI - PubMed

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