Since the publication of the latest recommendations of the Lithiasis Comity of the French Association of Urology (CLAFU) on the management of ureteral and renal stones, practices have evolved.
This text provides an update for the treatment of kidney stones. It is especially the important advances in the field of laser-ureterorenoscopy that changed practices. Percutaneous nephrolithotomy has been enriched by technical modifications and extracorporeal shockwave lithotripsy confirmed its predominant place in the first line of treatment. For stones less than 20mm, extracorporeal lithotripsy remains the standard, but in some cases the possibility of recommending a flexible ureterorenoscopy is possible in first line. For stones more than 20mm, percutaneous nephrolithotomy is the standard treatment, but optional flexible ureteroscopy and extracorporeal lithotripsy are possible. The treatment carried out, collect the stone fragments for a morpho-constitutional analysis and achieve a metabolic evaluation is necessary, to investigate etiologic and give dietary advices to prevent recurrence.
Written by:
Carpentier X, Meria P, Bensalah K, Chabannes E, Estrade V, Denis E, Yonneau L, Mozer P, Hadjadj H, Hoznek A, Traxer O. Are you the author?
Service d'urologie, hôpital Archet 2, 151, route de Saint-Antoine-de-Ginestière, BP 1069, 06002 Nice cedex 1, France; CHU Saint-Louis, 75010 Paris, France; CHU de Rennes, 35203 Rennes, France; CHU de Besançon, 25030 Besançon, France; CHR d'Angoulême, 16000 Angoulême, France; CHU Lyon-Sud, 69004 Lyon, France; Hôpital Foch, 92150 Suresnes, France; CHU Pitié-Salpêtrière, 75013 Paris, France; 77400 Lagny-sur-Marne, France; CHU Mondor, 94010 Créteil, France; CHU Tenon, 75020 Paris, France.
Reference: Prog Urol. 2014 Apr;24(5):319-26.
doi: 10.1016/j.purol.2013.09.029
PubMed Abstract
PMID: 24674339
Article in French.
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