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International Alliance of Urolithiasis guideline on retrograde intrarenal surgery

Guohua ZengDepartment of Urology, Guangdong Key Laboratory of Urology First Affiliated Hospital of Guangzhou Medical University Guangzhou ChinaOlivier TraxerGRC Urolithiasis No. 20, Sorbonne University Tenon Hospital Paris FranceWen ZhongDepartment of Urology, Guangdong Key Laboratory of Urology First Affiliated Hospital of Guangzhou Medical University Guangzhou ChinaPalle Jørn Sloth OstherDepartment of Urology, Vejle Hospital‐a part of Lillebaelt Hospital University Hospital of Southern Denmark Vejle DenmarkMargaret S. PearleUniversity of Texas Southwestern Medical Center Dallas TX USAGlenn M. PremingerDivision of Urologic Surgery Duke University Medical Center Durham NC USAGiorgio MazzonDepartment of Urology San Bassiano Hospital Vicenza ItalyChristian SeitzDepartment of Urology, Comprehensive Cancer Center, Vienna General Hospital Medical University of Vienna Vienna AustriaP. GeavleteDepartment of Urology Sf. Ioan Emergency Clinical Hospital Bucharest RomaniaCristian FioriDivision of Urology, Department of Oncology University of Turin Turin ItalyKhurshid R. GhaniDepartment of Urology University of Michigan Ann Arbor MI USABen H. ChewDepartment of Urologic Sciences University of British Columbia Vancouver BC CanadaKah AnnDepartment of Urology Pantai Hospital Penang MalaysiaFábio C. VicentiniDepartamento de Urologia, Faculdade de Medicina da Universidade de São Paulo – FMUSP Hospital das Clínicas São Paulo BrazilAthanasios Papatsoris2nd Department of Urology, School of Medicine, Sismanoglio Hospital National and Kapodistrian University of Athens Athens GreeceMarianne BrehmerDivision of Urology, Department of Clinical Sciences, Karolinska Institutet Danderyd Hospital Stockholm SwedenJuan López MartínezDepartment of Urology, Clinic Hospital University of Barcelona Barcelona SpainJiwen ChengDepartment of Urology The First Affiliated Hospital of Guangxi Medical University Nanning ChinaFan ChengDepartment of Urology Renmin Hospital of Wuhan University Wuhan ChinaXiaofeng GaoDepartment of Urology Changhai Hospital Shanghai ChinaNariman GadzhievDepartment of Urology Saint‐Petersburg State University Hospital Saint‐Petersburg RussiaAmelia PietropaoloDepartment of Urology University Hospital Southampton Southampton UKSilvia ProiettiIstituto di Ricovero e Cura a Carattere Scientifico San RaffaeleZhangqun YeDepartment of Urology, Tongji Medical College, Tongji Hospital Huazhong University of Science and Technology Wuhan ChinaKemal SarıcaDepartment of Urology, Medical School Biruni University Istanbul Turkey

2022en

ABI

Annotatsiya

OBJECTIVES: To set out the second in a series of guidelines on the treatment of urolithiasis by the International Alliance of Urolithiasis that concerns retrograde intrarenal surgery (RIRS), with the aim of providing a clinical framework for urologists performing RIRS. MATERIALS AND METHODS: After a comprehensive search of RIRS-related literature published between 1 January 1964 and 1 October 2021 from the PubMed database, systematic review and assessment were performed to inform a series of recommendations, which were graded using modified GRADE methodology. Additionally, quality of evidence was classified using a modification of the Oxford Centre for Evidence-Based Medicine Levels of Evidence system. Finally, related comments were provided. RESULTS: A total of 36 recommendations were developed and graded that covered the following topics: indications and contraindications; preoperative imaging; preoperative ureteric stenting; preoperative medications; peri-operative antibiotics; management of antithrombotic therapy; anaesthesia; patient positioning; equipment; lithotripsy; exit strategy; and complications. CONCLUSION: The series of recommendations regarding RIRS, along with the related commentary and supporting documentation, offered here should help provide safe and effective performance of RIRS.

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DOI: 10.1111/bju.15836

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