{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T10:05:41Z","timestamp":1774346741761,"version":"3.50.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T00:00:00Z","timestamp":1752105600000},"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":["Urologia"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      We created a classification system for encrusted ureteral stents (ES) (\n                      <jats:bold>G<\/jats:bold>\n                      rading system for\n                      <jats:bold>A<\/jats:bold>\n                      dditional lithiasis and u\n                      <jats:bold>R<\/jats:bold>\n                      eteral\n                      <jats:bold>S<\/jats:bold>\n                      tent c\n                      <jats:bold>A<\/jats:bold>\n                      lcification \u2013GARSA-, I-III grades), we demonstrate its utility for predicting the surgical outcome and the need of complex surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Retrospective review of patients with ES; clinico-demographics, additional lithiasis (AL), stent calcification characteristics, surgeries performed, complications and stone free rate were collected. Chi-square was used to compare the categorical variables and Kruskal-Wallis test for the comparison &gt; 2 numerical groups; a\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value &lt; .05 was considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We included 190 ES; 163 (85.8%) stents underwent one-time surgical removal. Most Grade I catheters were removed in a single surgery, without invasive\/multimodal therapy; Grade II-III catheters required multimodal and invasive therapies. The presence of AL in kidney increased the number of surgical interventions performed in Grade I\/II catheters (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05) and the likelihood of requiring multimodal (Grade I: 90%, Grade II: 83.3%, Grade III: 100%) or invasive surgery (Grade I: 38.1%, Grade II 58.3%, Grade III 90.9%) to achieve successful treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Incorporating both the calcified stent characteristics and the presence of AL, GARSA score can be used to determine the selection of the optimal surgical approach for patients with encrusted stents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03915603251351767","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T08:09:04Z","timestamp":1752134944000},"page":"678-685","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An Effective Classification System for the Treatment of Encrusted Ureteral Stents"],"prefix":"10.1177","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8255-2287","authenticated-orcid":false,"given":"Mar\u00eda E.","family":"Garza-Mont\u00fafar","sequence":"first","affiliation":[{"name":"Urology Department, Instituto Mexicano del Seguro Social, Hospial General de Zona N\u00b0 33, Monterrey, Nuevo Le\u00f3n, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8253-3403","authenticated-orcid":false,"given":"Hid F.","family":"Cordero-Franco","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica del Noreste\/Unidad de Investigaci\u00f3n Epidemiol\u00f3gica y en Servicios de Salud, Instituto Mexicano del Seguro Social, Monterrey, Nuevo Le\u00f3n, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos M.","family":"Garc\u00eda-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Urology Department, Instituto Mexicano del Seguro Social, Unidad de Medicina de Alta Especialidad N\u00b0 25, Monterrey, Nuevo Le\u00f3n, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan H.","family":"D\u00edaz-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Divisi\u00f3n de Estudios de Posgrado e Investigaci\u00f3n, Facultad de Medicina y Nutrici\u00f3n, Universidad Ju\u00e1rez del Estado de Durango, Durango, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brissia","family":"Lazalde","sequence":"additional","affiliation":[{"name":"Departamento de Gen\u00e9tica, Facultad de Medicina y Nutrici\u00f3n, Universidad Ju\u00e1rez del Estado de Durango, Durango, Durango, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)63130-6"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.0250"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.0254"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12155149"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001343"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.7815"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.4081\/aiua.2018.4.265"},{"issue":"6","key":"e_1_3_3_9_2","first-page":"323","article-title":"The association of encrustation and ureteral stent indwelling time in urolithiasis and KUB grading system","volume":"15","author":"Guven Kartal I","year":"2018","unstructured":"Guven Kartal I, Baylan B, Gok A, et al. The association of encrustation and ureteral stent indwelling time in urolithiasis and KUB grading system. Urol J 2018; 15(6): 323\u2013328.","journal-title":"Urol J"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/2090598X.2019.1595485"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(01)01317-6"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2016.06.050"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2008.0214"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.1225"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00240-023-01482-y"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"issue":"68","key":"e_1_3_3_17_2","first-page":"1","article-title":"Retained ureteral stents, an avoidable source of morbidity-10 years\u2019 experience from a single tertiary care centre","volume":"42","author":"Agrawal M","year":"2022","unstructured":"Agrawal M, Gite VA, Sankapal P, et al. Retained ureteral stents, an avoidable source of morbidity-10 years\u2019 experience from a single tertiary care centre. 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