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International Alliance of Urolithiasis (IAU) Guideline on Retrograde Intrarenal Surgery.

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单位: [1]Department of Urology and Guangdong Key Laboratory of Urology, First affiliated hospital of Guangzhou Medical University, Guangdong Provincial Key Laboratory of Urology, Guangzhou, China. [2]GRC Urolithiasis no. 20, Sorbonne University, Tenon Hospital, Paris, France. [3]Department of Urology, Vejle Hospital-a part of Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark. [4]University of Texas Southwestern Medical Center, Dallas, USA. [5]Division of Urologic Surgery, Duke University Medical Center, Durham, North Carolina, USA. [6]Department of Urology, San Bassiano Hospital, Vicenza, Italy. [7]Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna General Hospital, Vienna, Austria. [8]Sanador Hospital, Bucharest, Romania, Department of Urology, Sf. Ioan Emergency Clinical Hospital, Bucharest, Romania. [9]Division of Urology, San Luigi" Hospital, Department of Oncology, University of Turin, Orbassano (Turin), Italy. [10]Department of Urology, University of Michigan, USA. [11]Department of Urologic Sciences, University of British Columbia, Vancouver, British Columbia, Canada. [12]Department of Urology, Pantai Hospital Penang, Malaysia. [13]Departamento de Urologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil. [14]2nd Department of Urology, School of Medicine, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece. [15]Division of Urology, Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden. [16]Department of Urology, Clinic Hospital, University of Barcelona, Barcelona, Spain. [17]Department of Urology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. [18]Department of Urology, Renmin Hospital of Wuhan University, Wuhan, China. [19]Department of Urology, Changhai Hospital, Shanghai, China. [20]Department of Urology, Saint-Petersburg State University Hospital, Saint-Petersburg, Russia. [21]Department of Urology, University Hospital Southampton, Southampton, UK. [22]Department of Urology, IRCCS San Raffaele Hospital, Milan, Italy. [23]Department of Urology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China. [24]Department of Urology, Biruni University, Medical School, Istanbul, Turkey.
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The International Alliance of Urolithiasis (IAU) is releasing a series of guidelines on the treatment of urolithiasis. The current guideline is the second document regarding retrograde intrarenal surgery (RIRS), and it is aimed to provide a clinical framework for urologists performing RIRS.After a comprehensive search of RIRS-related literature published between 01/01/1964 and 1/10/2021 from the Pub Med database, a systematic review and assessment were performed to inform a series of recommendations, which were graded using a modified GRADE methodology. Furthermore, the quality of evidence was classified using a modification of the Oxford Centre for Evidence-Based Medicine Levels of Evidence. Finally, related comments was provided.A total of 36 recommendations were developed and graded that covered the following topics: indications and contraindications, preoperative imaging, preoperative ureteral stenting, preoperative medications, perioperative antibiotics and management of anti-thrombotic therapy, anesthesia, patient positioning, equipment, lithotripsy, exit strategy and complications.A series of recommendations regarding RIRS along with related commentary and supporting documentation offered here should provide safe and effective performance of RIRS.This article is protected by copyright. All rights reserved.

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大类 | 2 区 医学
小类 | 2 区 泌尿学与肾脏学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 泌尿学与肾脏学
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Q1 UROLOGY & NEPHROLOGY
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Q1 UROLOGY & NEPHROLOGY

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第一作者单位: [1]Department of Urology and Guangdong Key Laboratory of Urology, First affiliated hospital of Guangzhou Medical University, Guangdong Provincial Key Laboratory of Urology, Guangzhou, China.
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