2022 Recommendations of the AFU Lithiasis Committee: Combined approach for the management of kidney and ureteral stones (Endoscopic Combined IntraRenal Surgery, ECIRS).
Prog Urol
; 33(14): 871-874, 2023 Nov.
Article
in En
| MEDLINE
| ID: mdl-37918986
ABSTRACT
The primary objective of the combined approach is to limit the number of percutaneous access tracts for the treatment of staghorn, or complex kidney stones by simultaneous percutaneous antegrade and retrograde ureteroscopy. The other indication is the simultaneous presence of several kidney and ureteral stones or of an impacted pelvic stone. The combination of the two techniques may increase the stone-free rate and decrease the retreatment rate of complex stones compared with percutaneous nephrolithotomy alone. The patient is usually in the modified supine position. METHODOLOGY:
These recommendations were developed using twomethods:
the Clinical Practice Recommendation (CPR) method and the ADAPTE method, depending on whether the question was considered in the European Association of Urology (EAU) recommendations (https//uroweb.org/guidelines/urolithiasis) [EAU Guidelines on urolithiasis. 2022] and their adaptability to the French context.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Nephrostomy, Percutaneous
/
Kidney Calculi
/
Ureteral Calculi
/
Lithiasis
Limits:
Humans
Language:
En
Journal:
Prog Urol
Journal subject:
UROLOGIA
Year:
2023
Document type:
Article
Affiliation country:
Francia
Publication country:
FR
/
FRANCE
/
FRANCIA
/
FRANÇA