Table 2.
AUA and EAU guidelines on kidney stones.
| AUA/ES Recommendation | Grade of recommendation | EAU recommendation | Level of evidence | |
|---|---|---|---|---|
| Surgical management of renal stones, lower pole excluded | <10 mm SWL or fURS 10–20 mm SWL or fURS >20 mm 1. PCNL 2. fURS No SWL as first-line treatment |
Strong recommendation | <10 mm 1. SWL or fURS |
– |
| 2. PCNL | ||||
| Strong recommendation | 10–20 mm SWL or endourology (fURS or PCNL) |
– | ||
| Strong recommendation | >20 mm 1. PCNL |
– | ||
| Strong recommendation | 2. SWL or fURS | |||
| Strong recommendation | ||||
| Surgical management of renal stones, lower pole | <10 mm SWL or fURS 10–20 mm fURS or PCNL No SWL as first-line treatment >20 mm 1. PCNL 2. fURS No SWL as first-line treatment |
Strong recommendation | <10 mm 1. SWL or fURS |
– |
| 2. PCNL | ||||
| Moderate recommendation | 10–20 mm SWL or fURS or PCNL |
– | ||
| Strong recommendation |
||||
| Strong recommendation | >20 mm 1. PCNL |
– | ||
| Strong recommendation Strong recommendation |
2. fURS or SWL Use fURS if PCNL or SWL are not an option (even for stones >2 cm) |
– |
AUA, American Urological Association; ES, Endourological Society; EAU, European Association of Urology; URS, ureterorenoscopy; SWL, shock wave lithotripsy; PCNL, percutaneous nephrolithotomy; fURS, flexible ureterorenoscopy.