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Surgical Management of Kidney and Ureteral Stones: AUA Guideline (2026) Part II: Evaluation and Treatment of Patients with Kidney and/or Ureteral Stones

M. Pearle, B. Matlaga, Jodi A. Antonelli, Thomas Chi, R. Hsi, Sennett K. Kim, Erin Kirkby, Bodo E. Knudsen et al.

Journal of Urology, 2025

14 citations

Abstract

PURPOSE

This Guideline covers the surgical management of patients with ureteral and/or kidney stones and is intended for clinicians evaluating and managing patients with this disease. The summary presented herein represents Part II of the three-part series dedicated to Surgical Management of Kidney and Ureteral Stones. Please refer to Part III for additional information on this topic.

MATERIALS AND METHODS

This systematic review was conducted in two planned stages, including a search for systematic reviews followed by a search for primary literature.OVID was used to systematically search MEDLINE and EMBASE databases for articles evaluating surgical management of kidney and ureteral stones. The Panel selected control articles that were deemed relevant and the articles were compared with the literature search strategy output. The methodologist then updated the strategy as necessary to capture all control articles. Databases were searched for studies published from January 2000 through May 2025 (week 20). In addition to the MEDLINE and EMBASE databases searches, reference lists of included systematic reviews and primary literature were scanned for potentially useful studies.

RESULTS

The Panel addressed adult and pediatric patients with ureteral and/or kidney stones for whom surgical intervention may be indicated. Each statement herein addressed a particular patient scenario for which the choice of surgical intervention was reviewed and justified. In addition, the Panel reviewed…

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