Carpentier X, Meria P, Bensalah K, Chabannes E, Estrade V, Denis E, Yonneau L, Mozer P, Hadjadj H, Hoznek A, Traxer O
Service d'urologie, hôpital Archet 2, 151, route de Saint-Antoine-de-Ginestière, BP 1069, 06002 Nice cedex 1, France
CHU Saint-Louis, 75010 Paris, France
CHU de Rennes, 35203 Rennes, France
CHU de Besançon, 25030 Besançon, France
CHR d'Angoulême, 16000 Angoulême, France
CHU Lyon-Sud, 69004 Lyon, France
Hôpital Foch, 92150 Suresnes, France
CHU Pitié-Salpêtrière, 75013 Paris, France
77400 Lagny-sur-Marne, France
CHU Mondor, 94010 Créteil, France
CHU Tenon, 75020 Paris, France

Abstract

Since the publication of the latest recommendations of the Lithiasis Comity of the French Association of Urology (CLAFU) on the management of ureteral and renal stones, practices have evolved. This text provides an update for the treatment of kidney stones. It is especially the important advances in the field of laser-ureterorenoscopy that changed practices. Percutaneous nephrolithotomy has been enriched by technical modifications and extracorporeal shockwave lithotripsy confirmed its predominant place in the first line of treatment. For stones less than 20mm, extracorporeal lithotripsy remains the standard, but in some cases the possibility of recommending a flexible ureterorenoscopy is possible in first line. For stones more than 20mm, percutaneous nephrolithotomy is the standard treatment, but optional flexible ureteroscopy and extracorporeal lithotripsy are possible. The treatment carried out, collect the stone fragments for a morpho-constitutional analysis and achieve a metabolic evaluation is necessary, to investigate etiologic and give dietary advices to prevent recurrence.

Article in French.

Prog Urol. 2014 Apr;24(5):319-26. doi: 10.1016/j.purol.2013.09.029. Epub 2013 Nov 22.
PMID:24674339[PubMed - in process]