title: Nephrolithiasis Clinical Guidelines Panel summary report on the management of staghorn calculi. The American Urological Association Nephrolithiasis Clinical Guidelines Panel.
abstract: The American Urological Association Nephrolithiasis Clinical Guidelines Panel recommendations for managing struvite staghorn calculi are based on a comprehensive review of the treatment literature and meta-analysis of outcome data from the 110 pertinent articles containing viable, unduplicated data. The panel concluded that the 3 most significant outcome probabilities are those of being stone-free, undergoing secondary unplanned procedures and having associated complications. Panel guideline recommendations for most standard patients are that neither shock wave lithotripsy monotherapy nor open surgery should be a first-line treatment choice but that a combination of percutaneous stone removal and shock wave lithotripsy should be used.
authors.affiliation: Department of Urology, Mayo Clinic, Rochester, Minnesota.
authors.forename: J W
authors.initials: JW
authors.lastname: Segura
authors.forename: G M
authors.initials: GM
authors.lastname: Preminger
authors.forename: D G
authors.initials: DG
authors.lastname: Assimos
authors.forename: S P
authors.initials: SP
authors.lastname: Dretler
authors.forename: R I
authors.initials: RI
authors.lastname: Kahn
authors.forename: J E
authors.initials: JE
authors.lastname: Lingeman
authors.forename: J N
authors.initials: JN
authors.lastname: Macaluso
authors.forename: D L
authors.initials: DL
authors.lastname: McCullough
mesh_terms: D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D007682:Kidney Pelvis; D012106:Research; D016896:Treatment Outcome