New AUA clinical guidelines on the management of staghorn calculi recommend that most patients with staghorn stones should have percutaneous nephrolithotomy as initial treatment.
New AUA clinical guidelines on the management of staghorn calculi recommend that most patients with staghorn stones should have percutaneous nephrolithotomy as initial treatment.
Open surgery should not be used for most patients, according to the guidelines. Other therapy-related recommendations suggest appropriate roles for combination therapy and SWL monotherapy, as well as options for management of staghorn stones in children and partial staghorn calculi.
The new report is an update of staghorn calculi guidelines originally issued in 1994, said Glenn M. Preminger, MD, of Duke University in Durham, NC, who served as chairman of the guidelines panel. The guidelines are available on AUA's web site at www.auanet.org/guidelines.
From evidence to practice: Dr. Makarov discusses implementation science in urology
July 25th 2024“What our major contribution is, I think as urologists doing implementation science, is determining the important questions, which we are particularly well-suited to do because we're taking care of the patients,” says Danil V. Makarov, MD, MHS.