2022 Recommendations of the AFU Lithiasis Committee: Ureteroscopy and ureterorenoscopy

Prog Urol. 2023 Nov;33(14):843-853. doi: 10.1016/j.purol.2023.08.016.ABSTRACTTechnical advances, including miniaturization, have improved the deflection and optical performance of the ureteroscopes, and the availability of dedicated disposable devices have led to their increasing use for kidney and ureteral stone management. Ureterorenoscopy brings diagnostic evidence through the endoscopic description of stones and renal papillary abnormalities. Currently, intracorporeal lithotripsy during ureterorenoscopy is based on laser sources. Routine ureteral stenting is not necessary before ureterorenoscopy, especially because preoperative stenting for>30 days is considered as an independent risk factor of infection. Ureteral access sheaths allow the easy and repeated access to the upper urinary tract and thus facilitate ureterorenoscopy. Their use improves vision, decreases intrarenal pressure, and possibly reduces the operative time, but they may cause ureteral injury. METHODOLOGY: These recommendations were developed using two methods: the Clinical Practice Recommendation (CPR) method and the ADAPTE method, depending on whether or not the question was considered in the European Association of Urology (EAU) recommendations (https://uroweb.org/guidelines/urolithiasis [EAU 2022]) and their adaptability to the French context.PMID:37918983 | DOI:10.1016/j.purol.2023.08.016

Source: Progres en Urologie - November 2, 2023 Category: Urology & Nephrology Authors: G Raynal B Malval F Panthier F-R Roustan O Traxer P Meria C Almeras lithiasis committee of the French Association of Urology (CLAFU) Source Type: research