CUA GUIDELINEUROpediaCANADAPRIOR TO ORIGINAL PUBUCATION (MARCH 2017),THIS GUIDEUNE UNDERWENT REVIEW BY THE CUA GUIDELINES COMMITTEE,CUA MEMBERS AT LARGE,AND THE CUA EXECUTIVE BOARD.THE 2023 UPDATES WERE APPROVED BY THE CUA GUIDELINES COMMITTEE AND CUA EXECUTIVE BOARD.2023 UPDATE-Canadian UrologicalAssociation guideline:Management of cysticrenal lesionsPatrick O.Richard,Philippe D.Violette,Bimal Bhind,2.For Bosniak lll or IV cyst measuring s2 cm,Rodney H.Breau,Matthieu Gratton5,Michael A.S.Jewett,active surveillance is now suggested as theAnil Kapoor,Frederic Pouliot5,Michael Leveridge,Alan I.So,preferred strategy.Tom F.Whelanto,Ricardo A.Rendon",Simon Tanguay,Antonio FinellisFor Bosniak lll or IV cyst measuring 2-4 cm,active surveillance or surgery are suggested asDivision of Urology.Department of Sugery.Centre Hospitalier Universitaire de Serbrooke.equal options.Universite de Sherbrooke,Sherbrooke,OC.Canada -Division of Urology.Woodstock GeneralHospital,Woodso.ON.Canad Southen Alberta hsttte oyUnivesityThe panel made these changes in an attempt toada:Divsion of.Department of Susity of OttaNdivison of Urploy.Department of Surery.Universite Lava ubec ocdecrease the burden of care for patients,but also"Division of Urology.Departments of Surgery and Surgical Oncology.Princess Margaret Canceracknowledges the low-quality evidence supportingversity Health Neetwork and theDment of Sugery MMster Univrsity.HamitonON Candthese changes.Consequently,we emphasize the needof Urology.Queen's University.Kingston General Hospital,Kingston.ON.Canada"Departmentfor shared decision-making.Patients opting for non-ma28e2a微surgical strategies should be made aware of the higheruncertainty surrounding the data supporting their treat-Division of Urology.Department of Surgery.MGll University.Montreal.QC.Canadament of choice.Gte as:Richard PO.Violette PD.Bhindi B.et al 2023 UPDATE-Canadian Urological Associationguidelne:Management of cystic rena lesions Can:17(6162-74.http://dxdoiINTRODUCTIONag/105489/aua8389Cystic renal lesions are usually diagnosed incidentally onAppendix available at cuaicaroutine imaging.With the increasing use of abdominalimaging,there is a growing number of individuals beingSee related commentary on page 175diagnosed with renal cystic disease.It is estimated thatup to one-third of individuals over 60 years of age willbe diagnosed with at least one simple renal cyst follow-ing abdominal imaging.2 Therefore,patients are oftenSUMMARY OF CHANGESreferred to urologists for guidance and managementThe current guideline summarizes the state-of-the-artof these lesions.Physicians need to distinguish cysticknowledge on the management of cystic renal lesionslesions from solid renal masses with necrotic com-by updating the 2017 Canadian Urological Associationponents,which behave more aggressively.Hence,the(CUA)guideline on the topic.To do so,we updatedcharacterization of these cystic renal masses is crucialour search strategy on June 18,2022,and have identi-to deter
