Клинические рекомендации Международного альянса мочекаменной болезни по ретроградной интраренальной хирургии (Российская адаптация)

Translated title of the contribution: International Alliance of Urolithiasis (IAU) guideline on retrograde intrarenal surgery (Russian adaptation)

Guohua Zeng, Olivier Traxer, Wen Zhong, Palle Osther, Margaret S. Pearle, Glenn M. Preminger, Giorgio Mazzon, Christian Seitz, Petrisor Geavlete, Cristian Fiori, Khurshid R. Ghani, Ben H. Chew, Kah Ann Git, Fabio Carvalho Vicentini, Athanasios Papatsoris, Marianne Brehmer, Juan L. Lopez Martinez, Jiwen Cheng, Fan Cheng, Xiaofeng GaoNariman Gadzhiev, Dmitri Gorelov, Amelia Pietropaolo, Silvia Proietti, Zhangqun Ye, Kemal Sarica

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction. The emergence of new scientific and clinical evidence on the use of retrograde intrarenal surgery (RIRS) for the management of kidney stones has prompted periodic systematisation, analysis, and evaluation of outcomes to standardise its application and determine future directions for research and development.

Objective. To present the Russian adaptation of a guideline on retrograde intrarenal surgery from the International Urolithiasis Alliance guideline series to provide a theoretical basis for urologists performing RIRS.

Materials & Methods. A systematic review was conducted on the RIRS-associated publications available in the PubMed database to prepare a set of recommendations during the period from 1 January 1964 until 1 October 2021. The recommendations were evaluated using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) system, which classifies, evaluates, develops, and examines recommendations. The modified Oxford Centre for Evidence-Based Medicine's (OCEBM) system for categorising the level of evidence and relevant comments have been applied to assess the strength of the conclusions.

Results. The research team conducted a comprehensive analysis of 36 published clinical guidelines on the following topics: 1. Indications and Contraindications 2. Preoperative Imaging 3. Preoperative Ureteral Stenting 4. Preoperative Medications 5. Perioperative Use of Antibiotics 6. Use of Antithrombotic Therapy 7. Anesthesia Issues 8. Intraoperative Positioning 9. Equipment 10. Complications.

Conclusion. A series of recommendations for RIRS, offered here should help provide safe and effective performance of RIRS.

Translated title of the contributionInternational Alliance of Urolithiasis (IAU) guideline on retrograde intrarenal surgery (Russian adaptation)
Original languageRussian
Pages (from-to)125-144
Number of pages20
JournalVestnik Urologii/Urology Herald
Volume12
Issue number2
DOIs
StatePublished - 2024

Keywords

  • RIRS
  • clinical guidelines
  • endourology
  • flexible ureteroscopy
  • retrograde intrarenal surgery
  • treatment
  • urolithiasis

ASJC Scopus subject areas

  • Urology

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