The Urological Association of Asia, consisting of 25 member associations and one affiliated member since its foundation in 1990, has planned to develop Asian guidelines for all urological fields. The field of stone diseases is the third of its guideline projects. Because of the different climates, and social, economic and ethnic environments, the clinical practice for urinary stone diseases widely varies among the Asian countries. The committee members of the Urological Association of Asia on the clinical guidelines for urinary stone disease carried out a surveillance study to better understand the diversity of the treatment strategy among different regions and subsequent systematic literature review through PubMed and MEDLINE database between 1966 and 2017. Levels of evidence and grades of recommendation for each management were decided according to the relevant strategy. Each clinical question and answer were thoroughly reviewed and discussed by all committee members and their colleagues, with suggestions from expert representatives of the American Urological Association and European Association of Urology. However, we focused on the pragmatic care of patients and our own evidence throughout Asia, which included recent surgical trends, such as miniaturized percutaneous nephrolithotomy and endoscopic combined intrarenal surgery. This guideline covers all fields of stone diseases, from etiology to recurrence prevention. Here, we present a short summary of the first version of the guideline - consisting 43 clinical questions - and overview its key practical issues.
International journal of urology : official journal of the Japanese Urological Association. 2019 Apr 24 [Epub ahead of print]
Kazumi Taguchi, Sung Yong Cho, Anthony Cf Ng, Manint Usawachintachit, Yung-Khan Tan, Yao Liang Deng, Cheng-Huang Shen, Prem Gyawali, Husain Alenezi, Abbas Basiri, Sopheap Bou, Tarmono Djojodemedjo, Kemal Sarica, Lei Shi, Praveen Singam, Shrawan Kumar Singh, Takahiro Yasui
Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan., Department of Urology, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul, Korea., SH Ho Urology Center, Department of Surgery, The Chinese University of Hong Kong, Hong Kong., Division of Urology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand., Urohealth Medical Clinic, Mt Elizabeth Hospital, Singapore., Department of Urology, Langdong Hospital and The First Affiliated Hospital, Guangxi Medical University, Nanning, China., Department of Urology, Chia-Yi Christian Hospital, Chiayi, Taiwan., Department of Urology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal., Sabah Al-Ahmad Urology Center and Adan Hospital, Kuwait., Department of Urology, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Department of Urology, Royal Phnom Penh Hospital, Phnom Penh, Cambodia., Department of Urology, Soetomo General Academia Hospital/Faculty of Medicine, Airlangga University, Surabaya, Indonesia., Department of Urology, Kafkas University Medical School, Kars, Turkey., Department of Urology, Yantai Yuhuangding Hospital and Medical School, Qingdao University, Yantai, China., KPJ Kajang Specialist Hospital, Selangor, Malaysia., Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.