Re: Postureteroscopic lesion scale (PULS): A new management modified organ injury scale - Evaluation in 435 ureteroscopic patients

摘要

We read the article with great interest and congratulate the authors for recommending an easy, memoriz-able, user friendly, and applicable classification for the use and duration of postoperative stent placement after uretero-scopy. The authors have mentioned that grade 2 injury (a submucosal lesion with complete tearing of mucosa) as per the postureteroscopy lesion scale was managed by Double-J stent placement for 2 weeks. The Double-J stent, however, was removed by flexible cystoscopy under local anesthesia. Therefore, we are of the opinion that grade 2 injury, although uncomplicated, should be classified as grade Ilia as per the Dindo-modified Clavien classification of surgical complications.