2022 Recommendations of the AFU Lithiasis Committee: Diagnosis

Prog Urol. 2023 Nov;33(14):782-790. doi: 10.1016/j.purol.2023.08.014.ABSTRACTThe choice of imaging modality is guided by the clinical presentation and the context (acute or not). Although ultrasound is safe (no radiation) and easily available, non-contrast-enhanced CT has become the gold standard in the diagnostic strategy for patients with acute flank pain because of its sensitivity (93.1%) and specificity (96.6%). It also allows determining the stone size, volume and density, visualizing their internal structure, and assessing their distance from the skin and the adjacent anatomy. All these parameters can influence the stone management and the choice of intervention modality. METHODOLOGY: These recommendations were developed using two methods: the Clinical Practice Recommendations method (CPR) and the ADAPTE method, depending on whether the issue was considered in the EAU recommendations (https://uroweb.org/guidelines/urolithiasis [EAU Guidelines on urolithiasis. 2022]) and their adaptability to the French context.PMID:37918979 | DOI:10.1016/j.purol.2023.08.014

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