European association of urology section of urolithiasis and international alliance of urolithiasis joint consensus on retrograde intrarenal surgery for the management of renal stones
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info:eu-repo/semantics/closedAccessDate
2022Author
Zeng, GuohuaZhao, Zhijian
Mazzon, Giorgio
Pearle, Margaret
Choong, Simon
Skolarikos, Andreas
Denstedt, John
Seitz, Christian
Olvera Pasada, Daniel
Fiori, Cristian
Bosio, Andrea
Papatsoris, Athanasios
Méndez Probst, Carlos Enrique
Perez Fentes, Daniel
Ann Git, Kah
Wu, Qinghui
Wiseman, Oliver
Emiliani, Esteban
Farahat, Yasser
Gökçe, Mehmet İlker
Giannakopoulos, Stilianos
Goumas Kartalas, Ioannis
Somani, Bhaskar
Knoll, Thomas
de la Rosette, Jean J. M. C. H.
Zhong, Jiehui
Vinicius Maroccolo, Marcus
Saltirov, lliya
Chew, Ben
Wang, Kunjie
Lahme, Sven
Giusti, Guido
Ferretti, Stefania
Yong Cho, Sung
Geavlete, Petrisor
Cansino, Ramon
Kamphuis, Guido M.
Smith, Daron
Matlaga, Brian R.
Ghani, Khurshid D.
Bernardo, Norberto
Silva, Andres D.
Ng, Anthony C.F.
Yang, Sixing
Gao, Xiaofeng
Traxer, Olivier
Miernik, Arkadiusz
Liatsikos, Evangelos
Priyakant Parikh, Kandarp
Duvdevani, Mordechai
Celia, Antonio
Yasui, Takahiro
Aquino, Albert
Alomar, Mohammad
Choonhaklai, Vorapot
Erkurt, Bulent
Glass, Jonathan
Sriprasad, Seshadri
Osther, Palle J.
Keeley, Francis X.
Preminger, Glenn M.
Cepeda Delgado, Marcos
Beltran Suarez, Edgar
Ye, Zhangqun
Sarica, Kemal
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Zeng, G., Zhao, Z., Mazzon, G., Pearle, M., Choong, S., Skolarikos, A. ... Sarica, K. (2022). European association of urology section of urolithiasis and international alliance of urolithiasis joint consensus on retrograde intrarenal surgery for the management of renal stones. European Urology Focus, 8(5), 1461-1468. https://doi.org/10.1016/j.euf.2021.10.011Abstract
Background: Retrograde intrarenal surgery (RIRS) has become the preferred treatment modality for nephrolithiasis. However, because of ongoing uncertainties regarding the optimal perioperative management, operative technique, and postoperative follow-up, as well as a lack of standardization for outcome reporting, consensus is needed to achieve more uniform clinical practice worldwide. Objective: To develop recommendations for RIRS on the basis of existing data and expert consensus. Design, setting, and participants: A protocol-driven, three-phase study was conducted by the European Association of Urology Section of Urolithiasis (EULIS) and the International Alliance of Urolithiasis (IAU). The process included: (1) a nonsystematic review of the literature to define domains for discussion; (2) a two-round modified Delphi survey involving experts in this field; and (3) an additional group meeting and third-round survey involving 64 senior representative members to formulate the final conclusions. Outcome measurements and statistical analysis: The results from each previous round were returned to the participants for re-evaluation of their decisions during the next round. The agreement threshold was set at 70%. Results and limitations: The panel included 209 participants who developed 29 consensus statements on the following topics of interest: (1) perioperative infection management; (2) perioperative antithrombotic therapy; (3) fundamentals of the operative technique; and (4) standardized outcome reporting. Although this consensus can be considered as a useful reference for more clinically oriented daily practice, we also acknowledge that a higher level of evidence from further clinical trials is needed. Conclusions: The consensus statements aim to guide and standardize clinical practice and research on RIRS and to recommend standardized outcome reporting. Patient summary: An international consensus on the best practice for minimally invasive surgery for kidney stones was organized and developed by two international societies. It is anticipated that this consensus will provide further guidance to urologists and may help to improve clinical outcomes for patients.
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