Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

AUA and EAU release new guidelines on ureteral stone management

20.11.2007
The American Urological Association (AUA) is pleased to announce the release of a new Guideline for the Management of Ureteral Calculi prepared as a collaborative effort with the European Association of Urology (EAU). This is the first international guideline on this topic, and the first time the two organizations have partnered to release information of mutual benefit to both urologists in the United States and in Europe.

The Guideline is an update to the 1997 AUA guideline on this topic, as well as an update of a section of the EAU’s Guidelines on Urolithiasis (last updated in 2006). The joint EAU/AUA Nephrolithiasis Panel was convened in 2003 to incorporate the significant body of research that has become available over the past decade into the document, including the use of shockwave lithotripsy (SWL), ureteroscopy (URS) and other treatments, including medical expulsive therapies (MET) such as alpha blockers and nifedipine designed to aid in spontaneous stone passage.

One of the biggest changes in this document is the shift in indications for URS. The 1997 AUA Guideline recommended URS as the modality for surgical treatment of middle and distal ureteral stones while SWL was preferred for proximal ureteral stones. Data now support URS for stones in all locations and also is now considered appropriate for stones of any size in the proximal ureter. Additionally, ureteroscopic management of stones in the middle ureter, a location that has traditionally posed significant challenges for surgical stone treatments, is supported by the analyzed data.

“The Panel believes that the report will help both the clinician and the patient choose the most appropriate treatment modality for managing ureteral calculi and believes that future collaboration between the European Association of Urology and the American Urological Association will serve to establish a set of internationally approved guidelines, offering physician and patient guidance throughout the world,” said Glenn M. Preminger, M.D., Professor of Urologic Surgery at Duke University Medical Center and co-chairman of the joint Guidelines Panel.

“At a time when knowledge and technology develop rapidly, it is absolutely necessary to keep up with therapeutic achievements and take advantage of recent observations,” said Hans- Göran Tiselius, M.D., Ph.D., co-chairman of the panel. “The statements in this EAU/AUA-document, resulting from extensive analyses of recent literature data by a highly qualified panel, should be a most useful guide to urologists in their daily practical work."

In addition to making treatment recommendations, the Guideline Panel also addresses the direction of future research. The panel points out deficiencies in the number of randomized controlled trials (RCTs) available for extraction and identifies a need for RCTs comparing interventional techniques and pharmacological studies of stone-expulsion therapies as double-blinded RCTs. A complete list of recommendations for research is included in the full document.

The first chapter of the guideline document is being published in the December 2007 issue of The Journal of Urology® and European Urology. The documents are also posted on both the AUA and EAU web sites.

The panel developing the Guideline was co-chaired by Glenn M. Preminger, M.D. and Hans-Göran Tiselius, M.D., Ph.D and included Dean G. Assimos, M.D., Peter Alken, M.D., Ph.D, Colin Buck, M.D., Ph.D , Michele Gallucci, M.D., Ph.D, Thomas Knoll, M.D., Ph.D, James E. Lingeman, M.D., Stephen Y. Nakada, M.D., Margaret Sue Pearle, M.D., Ph.D., Kemal Sarica, M.D., Ph.D, Christian Türk M.D., Ph.D and J. Stuart Wolf Jr., M.D.

About the American Urological Association: Founded in 1902 and headquartered near Baltimore, Maryland, the American Urological Association is the pre-eminent professional organization for urologists, with more than 15,000 members throughout the world. An educational nonprofit organization, the AUA pursues its mission of fostering the highest standards of urologic care by carrying out a wide variety of programs for members and their patients, including UrologyHealth.org, an award-winning on-line patient education resource, and the American Urological Association Foundation, Inc.

About the European Association of Urology: Established in 1972, the European Association of Urology is now entering a period marked by growth in its membership, thanks to the efforts made in the mid-1990s to modernise the EAU’s structure and widen its activities. With the crucial goal to enhance patient care, the EAU’s core mission is to act as the representative body for all European urologists, thus facilitating the continuous development of urology and all its subspecialties. In order to maintain the high standards of urological care throughout Europe, the EAU stimulates education and urological research and helps disseminate the results.

Wendy Isett | EurekAlert!
Further information:
http://www.auanet.org

More articles from Health and Medicine:

nachricht Improving memory with magnets
28.03.2017 | McGill University

nachricht Graphene-based neural probes probe brain activity in high resolution
28.03.2017 | Graphene Flagship

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: A Challenging European Research Project to Develop New Tiny Microscopes

The Institute of Semiconductor Technology and the Institute of Physical and Theoretical Chemistry, both members of the Laboratory for Emerging Nanometrology (LENA), at Technische Universität Braunschweig are partners in a new European research project entitled ChipScope, which aims to develop a completely new and extremely small optical microscope capable of observing the interior of living cells in real time. A consortium of 7 partners from 5 countries will tackle this issue with very ambitious objectives during a four-year research program.

To demonstrate the usefulness of this new scientific tool, at the end of the project the developed chip-sized microscope will be used to observe in real-time...

Im Focus: Giant Magnetic Fields in the Universe

Astronomers from Bonn and Tautenburg in Thuringia (Germany) used the 100-m radio telescope at Effelsberg to observe several galaxy clusters. At the edges of these large accumulations of dark matter, stellar systems (galaxies), hot gas, and charged particles, they found magnetic fields that are exceptionally ordered over distances of many million light years. This makes them the most extended magnetic fields in the universe known so far.

The results will be published on March 22 in the journal „Astronomy & Astrophysics“.

Galaxy clusters are the largest gravitationally bound structures in the universe. With a typical extent of about 10 million light years, i.e. 100 times the...

Im Focus: Tracing down linear ubiquitination

Researchers at the Goethe University Frankfurt, together with partners from the University of Tübingen in Germany and Queen Mary University as well as Francis Crick Institute from London (UK) have developed a novel technology to decipher the secret ubiquitin code.

Ubiquitin is a small protein that can be linked to other cellular proteins, thereby controlling and modulating their functions. The attachment occurs in many...

Im Focus: Perovskite edges can be tuned for optoelectronic performance

Layered 2D material improves efficiency for solar cells and LEDs

In the eternal search for next generation high-efficiency solar cells and LEDs, scientists at Los Alamos National Laboratory and their partners are creating...

Im Focus: Polymer-coated silicon nanosheets as alternative to graphene: A perfect team for nanoelectronics

Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are less stable. Now researchers at the Technical University of Munich (TUM) have, for the first time ever, produced a composite material combining silicon nanosheets and a polymer that is both UV-resistant and easy to process. This brings the scientists a significant step closer to industrial applications like flexible displays and photosensors.

Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

International Land Use Symposium ILUS 2017: Call for Abstracts and Registration open

20.03.2017 | Event News

CONNECT 2017: International congress on connective tissue

14.03.2017 | Event News

ICTM Conference: Turbine Construction between Big Data and Additive Manufacturing

07.03.2017 | Event News

 
Latest News

Transport of molecular motors into cilia

28.03.2017 | Life Sciences

A novel hybrid UAV that may change the way people operate drones

28.03.2017 | Information Technology

NASA spacecraft investigate clues in radiation belts

28.03.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>