The modern view on the surgical treatment of nephrolithiasis

Author:

Royuk R. V.1ORCID,Yarovoy S. K.2ORCID,Aksenov G. A.3ORCID

Affiliation:

1. Burdenko Main Military Clinical Hospital

2. Lopatkin Scientific Research Institute of Urology and Interventional Radiology; Pletnev City Clinical Hospital

3. Pirogov Russian National Research Medical University

Abstract

The choice of surgical treatment for nephrolithiasis remains a matter of debate. The article is a literature review dedicated to a comparative analysis of the efficacy and safety of extracorporeal shock-wave lithotripsy (ESWL) and endoscopic methods for the treatment of nephrolithiasis. The literature review was based on the analysis of articles published in the PubMed / MEDLINE, and eLibrary databases. Sixty publications on the topic of the review were analysed. As a result of data analysis, endoscopic therapies have a significant advantage over ESWL with comparable safety. The development and dissemination of less invasive techniques such as mini-percutaneous nephrolithotripsy and ultra-mini-percutaneous nephrolithotripsy in the future may change the approach to the surgical treatment of any form of nephrolithiasis.

Publisher

Rostov State Medical University

Subject

Urology

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