Skip to main content
. 2018 Jun 22;5(4):264–273. doi: 10.1016/j.ajur.2018.06.005

Table 1.

AUA and EAU guidelines on ureteral stones.

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.