Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I

Dean Assimos, Amy Krambeck, Nicole L. Miller, Manoj Monga, M. Hassan Murad, Caleb P. Nelson, Kenneth T. Pace, Vernon M. Pais, Margaret S. Pearle, Glenn M. Preminger, Hassan Razvi, Ojas Shah, Brian R. Matlaga

Research output: Contribution to journalArticle

216 Scopus citations

Abstract

Purpose This Guideline is intended to provide a clinical framework for the surgical management of patients with kidney and/or ureteral stones. The summary presented herein represents Part I of the two-part series dedicated to Surgical Management of Stones: American Urological Association/Endourological Society Guideline. Please refer to Part II for an in-depth discussion of patients presenting with ureteral or renal stones. Materials and Methods A systematic review of the literature (search dates 1/1/1985 to 5/31/2015) was conducted to identify peer-reviewed studies relevant to the surgical management of stones. The review yielded an evidence base of 1,911 articles after application of inclusion/exclusion criteria. These publications were used to create the Guideline statements. Evidence-based statements of Strong, Moderate, or Conditional Recommendation were developed based on benefits and risks/burdens to patients. Additional directives are provided as Clinical Principles and Expert Opinions when insufficient evidence existed. Results The Panel identified 12 adult Index Patients to represent the most common cases seen in clinical practice. Three additional Index Patients were also created to describe pediatric and pregnant patients with such stones. With these patients in mind, Guideline statements were developed to aid the clinician in identifying optimal management. Conclusions Proper treatment selection, which is directed by patient- and stone-specific factors, remains the greatest predictor of successful treatment outcomes. This Guideline is intended for use in conjunction with the individual patient's treatment goals. In all cases, patient preferences and personal goals should be considered when choosing a management strategy.

Original languageEnglish (US)
Pages (from-to)1153-1160
Number of pages8
JournalJournal of Urology
Volume196
Issue number4
DOIs
StatePublished - Oct 1 2016
Externally publishedYes

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Keywords

  • nephrolithiasis
  • nephrostomy
  • percutaneous
  • ureteroscopy

ASJC Scopus subject areas

  • Urology

Cite this

Assimos, D., Krambeck, A., Miller, N. L., Monga, M., Murad, M. H., Nelson, C. P., Pace, K. T., Pais, V. M., Pearle, M. S., Preminger, G. M., Razvi, H., Shah, O., & Matlaga, B. R. (2016). Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I. Journal of Urology, 196(4), 1153-1160. https://doi.org/10.1016/j.juro.2016.05.090