{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:45:15Z","timestamp":1777448715530,"version":"3.51.4"},"reference-count":44,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>\n                    The association between prophylactic ureteral stents (PUS) and postoperative complications was evaluated. Five electronic databases were searched to identify studies involving patients undergoing colorectal surgery (CRS) with PUS. Primary outcomes were acute kidney injury (AKI), ureteral injury (UI), urinary tract infection (UTI) and hematuria. Risk ratios (RR) and mean differences (MD) were calculated using a random-effects model. Seventeen retrospective cohort studies involving 104\u2009162 patients were analyzed. AKI incidence was not significantly different between PUS and non-PUS (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .06). Subgroup analysis revealed no significant increase in AKI (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .08). UI was similar (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .74); UTI (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .01) and hematuria (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .01) were significantly higher with PUS. Operative time was longer (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .01). PUS in CRS did not significantly reduce UI or increase AKI risk but was associated with higher UTI and hematuria.\n                  <\/jats:p>","DOI":"10.1177\/00031348251391847","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T19:52:47Z","timestamp":1761681167000},"page":"1266-1279","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety of Prophylactic Ureteral Stents in Colorectal Surgery: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"92","author":[{"given":"Mohammed","family":"Benhammou","sequence":"first","affiliation":[{"name":"University of Oran 1 Ahmed Ben Bella"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghada","family":"Kareem","sequence":"additional","affiliation":[{"name":"University of Al-Qadisiyah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammed","family":"Elhadi","sequence":"additional","affiliation":[{"name":"Korea University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdelaziz H.","family":"Salama","sequence":"additional","affiliation":[{"name":"University of Health Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofian","family":"Zreigh","sequence":"additional","affiliation":[{"name":"Ankara Y\u0131ld\u0131r\u0131m Beyaz\u0131t University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rana H.","family":"Shembesh","sequence":"additional","affiliation":[{"name":"Libyan International Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Hamza","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, The Hashemite University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dina","family":"Elraggal","sequence":"additional","affiliation":[{"name":"Alexandria University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Saleh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, The Hashemite University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamza Mohamed","family":"Hassan Abdalle","sequence":"additional","affiliation":[{"name":"Almughtaribeen University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Marzoug","sequence":"additional","affiliation":[{"name":"College of Medicine, The National Ribat University, Khartoum, Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arowa H.","family":"Alansari","sequence":"additional","affiliation":[{"name":"Gharyan University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dawood","family":"Alatefi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Jordan, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alaa","family":"El-Hussuna","sequence":"additional","affiliation":[{"name":"OpenSourceResearch Organisation (OSRC.network)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8046-5753","authenticated-orcid":false,"given":"Steven D.","family":"Wexner","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-019-0864-y"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2013.04.001"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.2029"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000033"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15498"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02553655"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02053592"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2021.12.025"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000976"},{"key":"e_1_3_5_11_2","first-page":"139","article-title":"Protect the ureters","volume":"13","author":"Redan JA","year":"2009","unstructured":"Redan JA, McCarus SD. Protect the ureters. J Soc Laparoendosc Surg. 2009;13:139-141.","journal-title":"J Soc Laparoendosc Surg"},{"key":"e_1_3_5_12_2","first-page":"106","article-title":"Ureteral injury in laparoscopic gynecologic surgery","volume":"5","author":"Manoucheri E","year":"2012","unstructured":"Manoucheri E, Cohen SL, Sandberg EM, Kibel AS, Einarsson J. Ureteral injury in laparoscopic gynecologic surgery. Rev Obstet Gynecol. 2012;5:106-111.","journal-title":"Rev Obstet Gynecol"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6054-y"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-023-10440-z"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-024817"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-10941-5"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002841"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.7326\/ACPJC-1995-123-3-A12"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-135"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2009.01973.x"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2020.09.018"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39489.470347.AD"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/cl2.1230"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2017.09.050"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2023.00023"},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.3477"},{"key":"e_1_3_5_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2021.101672"},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2021.03.054"},{"key":"e_1_3_5_31_2","first-page":"85","article-title":"Acute kidney injury: definition, pathophysiology and clinical phenotypes","volume":"37","author":"Makris K","year":"2016","unstructured":"Makris K, Spanou L. Acute kidney injury: definition, pathophysiology and clinical phenotypes. Clin Biochem Rev. 2016;37:85-98.","journal-title":"Clin Biochem Rev"},{"key":"e_1_3_5_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2014.02.025"},{"key":"e_1_3_5_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2024.03.028"},{"key":"e_1_3_5_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-018-0369-7"},{"key":"e_1_3_5_35_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-024-03526-w"},{"key":"e_1_3_5_36_2","doi-asserted-by":"publisher","DOI":"10.25122\/jml-2021-0352"},{"key":"e_1_3_5_37_2","first-page":"8","article-title":"Indications and complications of double J ureteral stenting: our experience","volume":"11","author":"Pansota MS","year":"2013","unstructured":"Pansota MS, Rasool M, Saleem MS, Tabassum SA, Hussain A. Indications and complications of double J ureteral stenting: our experience. Gomal J Med Sci. 2013;11:8-12.","journal-title":"Gomal J Med Sci"},{"key":"e_1_3_5_38_2","doi-asserted-by":"publisher","DOI":"10.2147\/RRU.S273663"},{"key":"e_1_3_5_39_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2004.18.891"},{"key":"e_1_3_5_40_2","volume-title":"Statpearls","author":"Bono MJ","year":"2024","unstructured":"Bono MJ, Leslie SW, Reygaert WC. Uncomplicated urinary tract infections. In: Statpearls. StatPearls Publishing; 2024."},{"key":"e_1_3_5_41_2","doi-asserted-by":"publisher","DOI":"10.1089\/lps.1994.4.399"},{"key":"e_1_3_5_42_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-024-04224-0"},{"key":"e_1_3_5_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.09.041"},{"key":"e_1_3_5_44_2","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2002.17.5.633"},{"key":"e_1_3_5_45_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-008-0397-7"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251391847","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348251391847","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251391847","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:38:44Z","timestamp":1777379924000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348251391847"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,28]]},"references-count":44,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/00031348251391847"],"URL":"https:\/\/doi.org\/10.1177\/00031348251391847","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,28]]}}}