International Alliance of Urolithiasis (IAU) guideline on staghorn calculi management

期刊论文
发表日期：

2024年3月25日

查看全文

Wen Zhong,
Palle Osther,
Margaret Pearle,
Simon Choong,
Giorgio Mazzon,
Wei Zhu,
Zhijian Zhao,
Jorge Gutierrez,
Daron Smith,
Mohamad Moussa,
Shashi Kiran Pal,
Iliya Saltirov,
Mumtaz Ahmad,
Saeed Bin Hamri,
Ben Chew,
Albert Aquino,
Amy Krambeck,
Sanjay khadgi,
Roger L. Sur,
Selcuk Güven,
Wael Gamal,
Jianxing Li,
Yongda Liu,
Stefania Ferretti,
Wissam Kamal,
Liefu Ye,
Norberto Bernardo,
Shabir Almousawi,
Mohamed Abdelkareem,
Otas Durutovic,
Guido Kamphuis,
Marcus Maroccolo,
Zhangqun Ye,
Peter Alken,
Kermal Sarica,
Guohua Zeng

摘要

Background

The stone burden based management strategy reported in the guidelines published by different associations is well known for a long time. Staghorn calculi, representing the largest burden and most complex stones, is one of the most challenging cases to practicing urologists in clinical practice. The International Alliance of Urolithiasis (IAU) has released a series of guidelines on the management of urolithiasis.

Purpose

To develop a series of recommendations for the contemporary management management of staghorn calculi and to provide a clinical framework for urologists treating patients with these complex stones.

Methods

A comprehensive literature search for articles published in English between 01/01/1976 and 31/12/2022 in the PubMed, OVID, Embase and Medline database is performed. A series of recommendations are developed and individually graded following the review of literature and panel discussion.

Results

The definition, pathogenesis, pathophysiology, preoperative evaluation, intraoperative treatment strategies and procedural advice, early postoperative management, follow up and prevention of stone recurrence are summarized in the present document.

Conclusion

A series of recommendations regarding the management of staghorn calculi, along with related commentary and supporting documentation offered in the present guideline is intended to provide a clinical framework for the practicing urologists in the management of staghorn calculi.