Percutaneous Lithotripsy and Stone Extraction

Lasser, Michael; Pareek, Gyan

doi:10.1002/9781444345148.ch24

Cited by 3 publications

(2 citation statements)

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“… SWL is a well-tolerated and acceptably safe procedure[ 87 ] The complications include hematuria, steinstrasse, renal colic, urinary tract infection, sepsis, and symptomatic hematoma[ 88 89 ] The most severe complication is symptomatic hematoma, which is expected to be rare and reported to occur in <1% of most series[ 89 90 91 ] Steinstrasse forms in 4%–7% of cases of SWL, with stone size being the most crucial factor in the formation of steinstrasse[ 88 92 ] MET may increase the rate of stone expulsion and spontaneous passage In treating steinstrasse, ureteroscopy and SWL are both efficient[ 93 94 ] As with usual urological care, the urinary system should be decompressed in case of a UTI or fever through percutaneous nephrostomy of double J stent. [ 95 96 ] …”

Section: Section 3 - Surgical Management Of Urolithiasismentioning

confidence: 99%

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The Saudi urological association guidelines on urolithiasis

Kamal,

Azhar,

Hamri

et al. 2024

Urology Annals

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Aims: The Saudi Urolithiasis Guidelines are a set of recommendations for diagnosing, evaluating, and treating urolithiasis in the Saudi population. These guidelines are based on the latest evidence and expert consensus to improve patient outcomes and optimize care delivery. They cover the various aspects of urolithiasis, including risk factors, diagnosis, medical and surgical treatments, and prevention strategies. By following these guidelines, health-care professionals can improve care quality for individuals with urolithiasis in Saudi Arabia. Panel: The Saudi Urolithiasis Guidelines Panel consists of urologists specialized in endourology with expertise in urolithiasis and consultation with a guideline methodologist. All panelists involved in this document have submitted statements disclosing any potential conflicts of interest. Methods: The Saudi Guidelines on Urolithiasis were developed by relying primarily on established international guidelines to adopt or adapt the most appropriate guidance for the Saudi context. When necessary, the panel modified the phrasing of recommendations from different sources to ensure consistency within the document. To address areas less well covered in existing guidelines, the panel conducted a directed literature search for high quality evidence published in English, including meta analyses, randomized controlled trials, and prospective nonrandomized comparative studies. The panel also searched for locally relevant studies containing information unique to the Saudi Arabian population. The recommendations are formulated with a direction and strength of recommendation based on GRADE terminology and interpretation while relying on existing summaries of evidence from the existing guidelines.

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Section: Section 3 - Surgical Management Of Urolithiasismentioning

confidence: 99%

“…The anterograde technique may benefit from minimal dilation and a short access sheath (12/14 Fr) to facilitate an advancing flexible ureteroscope. [ 94 ] However, this approach should preferably be performed by an experienced endourologist using the specific techniques they are most familiar with.…”

Section: Section 3 - Surgical Management Of Urolithiasismentioning

confidence: 99%