Table 1.
AUA/ES recommendation | Grade of recommendation | EAU recommendation | Level of evidence | |
---|---|---|---|---|
Surgical management of distal uretal stones | >10 mm | Strong recommendation | >10 mm | – |
1. URS | 1. URS | |||
2. SWL | 2. SWL | |||
<10 mm | Strong recommendation | <10 mm URS or SWL | – | |
1. URS | ||||
2. SWL | ||||
URS for cystine or uric acid ureteral stones | Expert opinion | |||
Surgical management of proximal uretal stones | >10 mm 1. URS | Strong recommendation | >10 mm | – |
1. URS | ||||
2. SWL | ||||
<10 mm 1. URS | Strong recommendation | <10 mm | – | |
1. URS | ||||
2. SWL | ||||
For severe obesity, URS is a more promising option than SWL. | 2b | |||
Use PCNL for ureteral stones as an alternative when SWL is not indicated or has failed or when URS is impossible. | – |
AUA, American Urological Association; ES, Endourological Society; EAU, European Association of Urology; URS, ureterorenoscopy; SWL, shock wave lithotripsy; PCNL, percutaneous nephrolithotomy; fURS, flexible ureterorenoscopy.