NEPHROLITHIASIS CLINICAL GUIDELINES PANEL SUMMARY REPORT ON THE MANAGEMENT OF STAGHORN CALCULI

The American Urological Association Nephrolithiasis Clinical Guideline s Panel recommendations for managing struvite staghorn calculi are bas ed on a comprehensive review of the treatment literature and meta-anal ysis of outcome data from the 110 pertinent articles containing viable , unduplicated data. The panel concluded that the 3 most significant o utcome probabilities are those of being stone-free, undergoing seconda ry unplanned procedures and having associated complications. Panel gui deline recommendations for most standard patients are that neither sho ck wave lithotripsy monotherapy nor open surgery should be a first-lin e treatment choice but that a combination of percutaneous stone remova l and shock wave lithotripsy should be used.