2022 Recommendations of the AFU Lithiasis Committee: Specific cases - chronic kidney disease, bilateral stones, and solitary kidney.
| Autor: | Meria P; Service d'urologie, hôpital Saint-Louis, AP-HP, centre université Paris-Cité, Paris, France., Almeras C; UroSud, clinique La Croix du Sud, Quint-Fonsegrives, France. Electronic address: clafurologie@gmail.com. |
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| Jazyk: | angličtina |
| Zdroj: | Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie [Prog Urol] 2023 Nov; Vol. 33 (14), pp. 875-882. |
| DOI: | 10.1016/j.purol.2023.08.006 |
| Abstrakt: | Chronic kidney disease, diabetes and hypertension are risk factors of kidney function impairment. The relative risk of kidney failure is 1.52 in patients with urinary stone disease. The various techniques used to remove upper urinary tract stones generally do not alter kidney function in patients with normal kidney function and may sometimes improve kidney function or slow its deterioration in patients with kidney disease. Compared to the asynchronous treatment of bilateral renal and ureteral stones, concomitant treatment is associated with higher risk of anuria and the need of additional interventions, in the absence of postoperative stenting. For the treatment of solitary kidney stones, the absence of postoperative stenting increases the risk of postoperative anuria. Moreover, the multiplication of percutaneous nephrolithotomy access tracts increases the risk of bleeding and that of kidney function impairment. METHODOLOGY: These recommendations were developed according to two methods: the Clinical Practice Recommendations (CPR) method and the ADAPTE method, depending on whether the question was considered in the European Association of Urology (EAU) recommendations (https://uroweb.org/guidelines/urolithiasis) [EAU Guidelines on urolithiasis. 2022] and their adaptability to the French context. (Copyright © 2023 Elsevier Masson SAS. All rights reserved.) |
| Databáze: | MEDLINE |
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