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Antiretropulsion devices

Cabrera, Fernando J.; Preminger, Glenn M.; Lipkin, Michael E.

Current Opinion in Urology:
doi: 10.1097/MOU.0000000000000032
UROLITHIASIS: Edited by Mahesh Desai

Purpose of review: Stone migration during the treatment of ureteral stones can prove frustrating and increases both healthcare cost and patient morbidity. Antiretropulsion devices have been engineered to prevent stone migration.

Recent findings: Improvements in antiretropulsion devices allow for efficient prevention of stone migration during ureteroscopic lithotripsy with minimal adverse effects or complications. Multiple devices are now available each with advantages and disadvantages. New devices are currently engineered to prevent stone migration and maintain ureteral access. Antiretropulsion devices appear to be cost-effective to prevent stone migration during intracorporeal lithotripsy.

Summary: Antiretropulsion devices have been safely and effectively used during ureteroscopic procedures. These tools increase stone-free rates, decrease morbidity and new studies have demonstrated their cost-effectiveness.

Author Information

Comprehensive Kidney Stone Center Duke University Medical Center Durham, North Carolina, USA

Correspondence to Glenn M. Preminger, MD, Comprehensive Kidney Stone Center, Duke University Medical Center, DUMC 3167, Division of Urologic Surgery, Durham, NC 27710, USA. Tel: +1 919 681 5506; fax: +1 919 681 5507; e-mail:

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