title: [Place of the flexible ureterorenoscopy first choice for the treatment of kidney stones. Survey results practice committee of the AFU lithiasis completed in 2011].
abstract: The flexible ureterorenoscopy coupled with photovaporisation LASER (USSR-L) for the treatment of kidney kidney is a modern tool whose place is under evaluation.
  
  
  METHODS
  Its place has been assessed in France in 2010 by the Committee of urolithiasis of the French Association of Urology (CLAFU). A practice survey among 27 experts concerned the following decision criteria: comorbid patient's supposed nature of the calculation, anatomy of the urinary tract of the patient. This investigation has been proposed to calculate the size not exceeding 20mm, for a calculation of size greater than 20mm and for multiple calculations kidney.
  
  
  RESULTS
  Fourteen experts responded. The criteria for the USSR-The first line were: morbid obesity (BMI>30), anticoagulation or anti platelet aggregation, calculations Hard (UH>1000, cystine stones), calculations within diverticular caliceal calculations below, the failure of a first treatment or the wish of the patient.
  
  
  CONCLUSIONS
  The URS-SL was a first-line treatment validated regardless of size and number of kidney stones, when ESWL and PCNL were contraindicated or when their predictable results were poor (hard stones/morbid obesity/lower pole stones) or when stone access is difficult (intradiverticular). It was also the treatment of choice after the failure of a first treatment (ESWL/PCNL).
authors.affiliation: Centre Hospitalier d'Angoulême,16959 Angoulême cedex 9, France. vincent.estrade@gmail.com
authors.forename: V
authors.initials: V
authors.lastname: Estrade
authors.forename: K
authors.initials: K
authors.lastname: Bensalah
authors.forename: J-P
authors.initials: JP
authors.lastname: Bringer
authors.forename: E
authors.initials: E
authors.lastname: Chabannes
authors.forename: X
authors.initials: X
authors.lastname: Carpentier
authors.forename: P
authors.initials: P
authors.lastname: Conort
authors.forename: E
authors.initials: E
authors.lastname: Denis
authors.forename: B
authors.initials: B
authors.lastname: Doré
authors.forename: J R
authors.initials: JR
authors.lastname: Gautier
authors.forename: H
authors.initials: H
authors.lastname: Hadjadj
authors.forename: J
authors.initials: J
authors.lastname: Hubet
authors.forename: A
authors.initials: A
authors.lastname: Hoznek
authors.forename: E
authors.initials: E
authors.lastname: Lechevallier
authors.forename: P
authors.initials: P
authors.lastname: Meria
authors.forename: P
authors.initials: P
authors.lastname: Mozer
authors.forename: C
authors.initials: C
authors.lastname: Saussine
authors.forename: L
authors.initials: L
authors.lastname: Yonneau
authors.forename: O
authors.initials: O
authors.lastname: Traxer
mesh_terms: D000368:Aged; D015992:Body Mass Index; D005602:France; D019538:Health Care Surveys; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D017602:Lithotripsy, Laser / Q000295:instrumentation / Q000379:methods*; D009765:Obesity / Q000150:complications; D017410:Practice Guidelines as Topic; D015203:Reproducibility of Results; D012307:Risk Factors; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D020709:Ureteroscopes; D018666:Ureteroscopy / Q000295:instrumentation / Q000379:methods*; D014572:Urology