Nephrolithiasis Clinical Guidelines Panel Summary Report on the Management of Staghorn Calculi. The American Urological Association Nephrolithiasis Clinical Guidelines Panel

J Urol. 1994 Jun;151(6):1648-51. doi: 10.1016/s0022-5347(17)35330-2.

Abstract

The American Urological Association Nephrolithiasis Clinical Guidelines Panel recommendations for managing struvite staghorn calculi are based on a comprehensive review of the treatment literature and meta-analysis of outcome data from the 110 pertinent articles containing viable, unduplicated data. The panel concluded that the 3 most significant outcome probabilities are those of being stone-free, undergoing secondary unplanned procedures and having associated complications. Panel guideline recommendations for most standard patients are that neither shock wave lithotripsy monotherapy nor open surgery should be a first-line treatment choice but that a combination of percutaneous stone removal and shock wave lithotripsy should be used.

Publication types

  • Guideline
  • Practice Guideline

MeSH terms

  • Humans
  • Kidney Calculi / therapy*
  • Kidney Pelvis*
  • Research
  • Treatment Outcome