Navigation Links
AUA and EAU release new guidelines on ureteral stone management
Date:11/15/2007

LINTHICUM, MD. The American Urological Association (AUA) is pleased to announce the release of a new Guideline for the Management of Ureteral Calculi prepared as a collaborative effort with the European Association of Urology (EAU). This is the first international guideline on this topic, and the first time the two organizations have partnered to release information of mutual benefit to both urologists in the United States and in Europe.

The Guideline is an update to the 1997 AUA guideline on this topic, as well as an update of a section of the EAUs Guidelines on Urolithiasis (last updated in 2006). The joint EAU/AUA Nephrolithiasis Panel was convened in 2003 to incorporate the significant body of research that has become available over the past decade into the document, including the use of shockwave lithotripsy (SWL), ureteroscopy (URS) and other treatments, including medical expulsive therapies (MET) such as alpha blockers and nifedipine designed to aid in spontaneous stone passage.

One of the biggest changes in this document is the shift in indications for URS. The 1997 AUA Guideline recommended URS as the modality for surgical treatment of middle and distal ureteral stones while SWL was preferred for proximal ureteral stones. Data now support URS for stones in all locations and also is now considered appropriate for stones of any size in the proximal ureter. Additionally, ureteroscopic management of stones in the middle ureter, a location that has traditionally posed significant challenges for surgical stone treatments, is supported by the analyzed data.

The Panel believes that the report will help both the clinician and the patient choose the most appropriate treatment modality for managing ureteral calculi and believes that future collaboration between the European Association of Urology and the American Urological Association will serve to establish a set of internationally approved guidelines, offering physician and patient guidance throughout the world, said Glenn M. Preminger, M.D., Professor of Urologic Surgery at Duke University Medical Center and co-chairman of the joint Guidelines Panel.

At a time when knowledge and technology develop rapidly, it is absolutely necessary to keep up with therapeutic achievements and take advantage of recent observations, said Hans- Gran Tiselius, M.D., Ph.D., co-chairman of the panel. The statements in this EAU/AUA-document, resulting from extensive analyses of recent literature data by a highly qualified panel, should be a most useful guide to urologists in their daily practical work."

In addition to making treatment recommendations, the Guideline Panel also addresses the direction of future research. The panel points out deficiencies in the number of randomized controlled trials (RCTs) available for extraction and identifies a need for RCTs comparing interventional techniques and pharmacological studies of stone-expulsion therapies as double-blinded RCTs. A complete list of recommendations for research is included in the full document.

The first chapter of the guideline document is being published in the December 2007 issue of The Journal of Urology® and European Urology. The documents are also posted on both the AUA and EAU web sites.


'/>"/>

Contact: Wendy Isett
wisett@auanet.org
410-689-3932
American Urological Association
Source:Eurekalert

Related medicine news :

1. Memry Corporation Announces Fiscal Fourth Quarter and 2007 Year End Earnings Release and Conference Call
2. Somanetics Corporation to Release Third Quarter 2007 Financial Results and Host Conference Call September 19
3. First New York/New Jersey Health Care Report Card Released
4. Cleveland Clinic Press Releases Journal-Writing Book Write for Life: Healing Body, Mind, and Spirit Through Journal Writing by Sheppard B. Kominars, Ph.D.
5. Robbins & Myers to Release Fourth Quarter and 2007 Fiscal Year Results on Monday, October 15, 2007
6. Leading Child Abuse Center Releases Back to School Tips to Protect Children From Internet Predators
7. Kensey Nash Corporation Announces its First Quarter 2008 Earnings Release Date and Teleconference
8. JHA Releases 2007 U.S. Group Disability Mid-Year Market Survey Results
9. Verdict One Releases Directory of Board Certified Attorneys for Consumers
10. Academy releases emergency preparedness tools to enable millions more people to shelter in place
11. Provectus Pharmaceuticals, Inc. releases summary results of phase 1 metastatic melanoma study
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/29/2017)... ... , ... More than half of Americans suffering from noise-induced hearing loss do ... that causes hearing loss? May 1 marks the beginning of Better Hearing & Speech ... well as schedule a hearing evaluation for anyone with concerns about his/her hearing. , ...
(Date:4/28/2017)... , ... April 28, 2017 , ... ... (The National Campaign) announces its support for the Access to Contraception for Women ... Shaheen (D-NH) and Rep. Jackie Speier (D-CA), will help to ensure that all ...
(Date:4/28/2017)... ... April 28, 2017 , ... Somnoware, a leading provider of ... which enables sleep physicians to create and edit their interpretation reports. This solution ... a familiar interface that does not require additional training to use. It also ...
(Date:4/28/2017)... ... ... affects much more than energy – it also has mental and physical benefits. According to ... time, which can increase the risk of having a car accident. , This week ... to help you sleep better and feel better:, , Turn off ...
(Date:4/28/2017)... ... April 28, 2017 , ... Ushio America proudly introduces ... an instant energy-saving solution for F32T8 fluorescent lamps on most instant-start and programmed-start ... 50,000 hour rated lamps utilize the existing electronic ballast, saving labor and maintenance ...
Breaking Medicine News(10 mins):
(Date:4/20/2017)... , April 20, 2017 Research and ... Technologies - Innovation Driven by Rapidly Expanding Injectables Market and Increasing ... their offering. ... for drug delivery technologies will rise from USD 20 Billion in ... Global Drug Delivery Technologies - Innovation Driven by Rapidly Expanding ...
(Date:4/20/2017)... , April 20, 2017 Research ... Pharmacogenomics Market Size, Market Share, Application Analysis, Regional Outlook, Growth ... report to their offering. ... The global pharmacogenomics market was valued at US$ 7,167.6 ... Mn by 2024, expanding at a CAGR of 5.6% from ...
(Date:4/19/2017)... Medical Corporation (TSX: CRH) (NYSE MKT: CRHM) (the "Company"), announces that it ... 2017 at the Sheraton Hotel in Toronto, Ontario ... the Company is scheduled to present on Tuesday, May 2 at ... Chairman of the Board, Tony Holler will also attend ... For more details ...
Breaking Medicine Technology: