International Alliance of Urolithiasis guideline on retrograde intrarenal surgery

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 c...

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Bibliographic Details
Published in:BJU international 2023-02, Vol.131 (2), p.153-164
Main Authors: Zeng, Guohua, Traxer, Olivier, Zhong, Wen, Osther, Palle, Pearle, Margaret S., Preminger, Glenn M, Mazzon, Giorgio, Seitz, Christian, Geavlete, Petrisor, Fiori, Cristian, Ghani, Khurshid R., Chew, Ben H., Git, Kah Ann, Vicentini, Fabio Carvalho, Papatsoris, Athanasios, Brehmer, Marianne, Martinez, Juan Lopez, Cheng, Jiwen, Cheng, Fan, Gao, Xiaofeng, Gadzhiev, Nariman, Pietropaolo, Amelia, Proietti, Silvia, Ye, Zhangqun, Sarica, Kemal
Format: Article
Language:English
Subjects:
Anesthesia
Antibiotics
EndoUrology
flexible ureteroscopy
guideline
Humans
Kidney Calculi - surgery
KidneyStones
Lithiasis
Lithotripsy
Lithotripsy - methods
Medicin och hälsovetenskap
retrograde intrarenal surgery
Review
Reviews
RIRS
Surgery
treatment
Treatment Outcome
Ureter
Ureteroscopy - methods
Urinary tract diseases
urolithiasis
Urolithiasis - surgery
UroStone
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Summary: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.
ISSN:1464-4096
1464-410X
1464-410X
DOI:10.1111/bju.15836