title: [Update for the management of kidney stones in 2013. Lithiasis Committee of the French Association of Urology].
abstract: Since the publication of the latest recommendations of the Lithiasis Comity of the French Association of Urology (CLAFU) on the management of ureteral and renal stones, practices have evolved. This text provides an update for the treatment of kidney stones. It is especially the important advances in the field of laser-ureterorenoscopy that changed practices. Percutaneous nephrolithotomy has been enriched by technical modifications and extracorporeal shockwave lithotripsy confirmed its predominant place in the first line of treatment. For stones less than 20mm, extracorporeal lithotripsy remains the standard, but in some cases the possibility of recommending a flexible ureterorenoscopy is possible in first line. For stones more than 20mm, percutaneous nephrolithotomy is the standard treatment, but optional flexible ureteroscopy and extracorporeal lithotripsy are possible. The treatment carried out, collect the stone fragments for a morpho-constitutional analysis and achieve a metabolic evaluation is necessary, to investigate etiologic and give dietary advices to prevent recurrence.
authors.affiliation: Service d'urologie, hôpital Archet 2, 151, route de Saint-Antoine-de-Ginestière, BP 1069, 06002 Nice cedex 1, France. Electronic address: carpentier.x@chu-nice.fr.
authors.forename: X
authors.initials: X
authors.lastname: Carpentier
authors.affiliation: CHU Saint-Louis, 75010 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Meria
authors.affiliation: CHU de Rennes, 35203 Rennes, France.
authors.forename: K
authors.initials: K
authors.lastname: Bensalah
authors.affiliation: CHU de Besançon, 25030 Besançon, France.
authors.forename: E
authors.initials: E
authors.lastname: Chabannes
authors.affiliation: CHR d'Angoulême, 16000 Angoulême, France.
authors.forename: V
authors.initials: V
authors.lastname: Estrade
authors.affiliation: CHU Lyon-Sud, 69004 Lyon, France.
authors.forename: E
authors.initials: E
authors.lastname: Denis
authors.affiliation: Hôpital Foch, 92150 Suresnes, France.
authors.forename: L
authors.initials: L
authors.lastname: Yonneau
authors.affiliation: CHU Pitié-Salpêtrière, 75013 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Mozer
authors.affiliation: 77400 Lagny-sur-Marne, France.
authors.forename: H
authors.initials: H
authors.lastname: Hadjadj
authors.affiliation: CHU Mondor, 94010 Créteil, France.
authors.forename: A
authors.initials: A
authors.lastname: Hoznek
authors.affiliation: CHU Tenon, 75020 Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Traxer
mesh_terms: D005260:Female; D005602:France; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D016030:Kidney Transplantation; D010535:Laparoscopy; D008096:Lithotripsy; D007691:Medullary Sponge Kidney / Q000150:complications; D009403:Nephrostomy, Percutaneous; D018579:Patient Selection; D011247:Pregnancy; D011248:Pregnancy Complications; D014517:Ureteral Obstruction / Q000209:etiology / Q000628:therapy; D018666:Ureteroscopy; D014547:Urinary Diversion
keywords: Calcul; Endoscopie; Endoscopy; Guidelines; Kidney; Recommandations; Rein; Stone; Traitement; Treatment; Urine