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The modern view on the surgical treatment of nephrolithiasis

https://doi.org/10.21886/2308-6424-2023-11-2-154-163

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.

About the Authors

R. V. Royuk
Burdenko Main Military Clinical Hospital
Russian Federation

Ruslan V. Royuk — M.D., Cand.Sc.(Med); Head,  Urology Division.

Moscow


Competing Interests:

The authors declare no conflicts of interest



S. K. Yarovoy
Lopatkin Scientific Research Institute of Urology and Interventional Radiology; Pletnev City Clinical Hospital
Russian Federation

Sergey K. Yarovoy — M.D., Dr.Sc.(Med); Chief Researcher, Clinical Pharmacologist, Lopatkin Scientific Research Institute of Urology and Interventional Radiology – branch of the National Medical Research Radiologiсal Centre; Clinical Pharmacologist, Pletnev City Clinical Hospital — Moscow Healthcare Department.

Moscow


Competing Interests:

The authors declare no conflicts of interest



G. A. Aksenov
Pirogov Russian National Research Medical University
Russian Federation

Georgy A. Aksenov — Student.

Moscow


Competing Interests:

The authors declare no conflicts of interest



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For citations:


Royuk R.V., Yarovoy S.K., Aksenov G.A. The modern view on the surgical treatment of nephrolithiasis. Urology Herald. 2023;11(2):154-163. (In Russ.) https://doi.org/10.21886/2308-6424-2023-11-2-154-163

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