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PURPOSE The efficacy of shock wave lithotripsy and percutaneous stone removal for the treatment of symptomatic lower pole renal calculi was determined. MATERIALS AND METHODS A prospective randomized, multicenter clinical trial was performed comparing shock wave lithotripsy and percutaneous stone removal for symptomatic lower pole only renal calculi 30 mm.(More)
PURPOSE The optimal management of lower pole renal calculi is controversial. We compared shock wave lithotripsy (SWL) and ureteroscopy (URS) for the treatment of patients with small lower pole stones in a prospective, randomized, multicenter trial. MATERIALS AND METHODS A total of 78 patients with 1 cm or less isolated lower pole stones were randomized to(More)
PURPOSE We quantified the burden of urolithiasis in the United States by identifying trends in the use of health care resources and estimating the economic impact of the disease. MATERIALS AND METHODS The analytical methods used to generate these results have been described previously. RESULTS The rate of national inpatient hospitalizations for a(More)
BACKGROUND The prevalence of urolithiasis and its risk factors such as obesity and diabetes have increased over time. OBJECTIVE Determine the future cost and prevalence of kidney stones using current and projected estimates for stones, obesity, diabetes, and population rates. DESIGN, SETTING, AND PARTICIPANTS The stone prevalence in 2000 was estimated(More)
PURPOSE The purpose of this guideline is to provide a clinical framework for the diagnosis, prevention and follow-up of adult patients with kidney stones based on the best available published literature. MATERIALS AND METHODS The primary source of evidence for this guideline was the systematic review conducted by the Agency for Healthcare Research and(More)
PURPOSE Antimicrobial prophylaxis is the periprocedural systemic administration of an antimicrobial agent intended to reduce the risk of postprocedural local and systemic infections. The AUA convened a BPP Panel to formulate recommendations on the use of antimicrobial prophylaxis during urologic surgery. MATERIALS AND METHODS Recommendations are based on(More)
An unanticipated result of global warming is the likely northward expansion of the present-day southeastern U.S. kidney stone "belt." The fraction of the U.S. population living in high-risk zones for nephrolithiasis will grow from 40% in 2000 to 56% by 2050, and to 70% by 2095. Predictions based on a climate model of intermediate severity warming (SRESa1b)(More)