Guideline of guidelines: kidney stones

BJU Int. 2015 Aug;116(2):184-9. doi: 10.1111/bju.13080. Epub 2015 Apr 6.


Several professional organizations have developed evidence-based guidelines for the initial evaluation, diagnostic imaging selection, symptomatic management, surgical treatment, medical therapy, and prevention of recurrence for both ureteric and renal stones. The purpose of this article is to summarize these guidelines with reference to the strength of evidence. All guidelines endorse an initial evaluation to exclude concomitant infection, imaging with a non-contrast computed tomography scan, and consideration of medical expulsive therapy or surgical intervention depending on stone size and location. Recommends for metabolic evaluation vary by guideline, but all endorse increasing fluid intake to reduce the risk of recurrence.

Keywords: guideline; kidney calculi; nephrolithiasis; ureteric calculi.

MeSH terms

  • Humans
  • Kidney Calculi / therapy*
  • Nephrolithiasis
  • Practice Guidelines as Topic
  • Ureteral Calculi / therapy