According to AUA/Endourological Society guidelines, when is surgery recommended for the treatment of nephrolithiasis?

Updated: Jun 21, 2018
  • Author: Chirag N Dave, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

The 2016 American Urological Association (AUA)/Endourological Society guidelines provide more specific indications for surgical treatment. The guidelines recommend surgery in the following scenarios [41] :

  • Ureteral stones >10 mm
  • Uncomplicated distal ureteral stones ≤10 mm that have not passed after 4-6 weeks of observation, with or without MET
  • Symptomatic renal stones in patients without any other etiology for pain
  • Pediatric patients with ureteral stones that are unlikely to pass or in whom MET has failed
  • Pregnant patients with ureteral or renal stones in whom failed observation has failed

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