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Stone Disease

UroToday's Stone Disease section is a repository of the clinical publications, clinical trials and investigative science pertaining to the diagnosis and treatment of stone disease. Also available are conference coverage for all timely stone disease science, audio podcasts and downloadable slides from UroToday's slide library.

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European Urology - Miniperc? No, Thank You!
Wednesday, 07 March 2007
Volume 51, Issue 3, Pages 810-815 (March 2007) Abstract - Objectives: The aim of this retrospective study was to evaluate the results of our miniperc series through comparison with results from standard percutaneous nephrolithotomy (PNL) and tubeless PNL series in the treatment of stones <2cm in diameter.
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Surgery, Shock Waves Both Effective for Removing Kidney Stones
Monday, 05 March 2007
BERKELEY, CA (UroToday.com) - Two common methods for removing kidney stones — surgery and shock wave treatments — are effective and safe, and neither is clearly superior to the other, researchers report in a new systematic review of studies.
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Cook Urology Raises the Bar on Small Baskets
Tuesday, 27 February 2007
SPENCER, IND (Press Release) - 1.5 French NCircle® Tipless Stone Extractor Provides Increased Flow Rate, Improves Physicians' Field Of Vision During Ureteroscopy
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Air Pockets Trapped During Routine Coupling in Dry Head Lithotripsy Can Significantly Decrease the Delivery of Shock Wave Energy
Wednesday, 24 January 2007
BERKELEY, CA (UroToday.com) - Like fine espresso, successful lithotripsy is dependent upon the machine, the water, the generating substance (be it bean or beam), and the "barista".
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American Urological Association Names New Director of Guidelines
Wednesday, 03 January 2007
BALTIMORE, January 2007 — The American Urological Association (AUA) has announced that Heddy Hubbard, Ph.D., M.P.H., R.N., F.A.A.N. will be the new Director of Guidelines for the association. Dr. Hubbard joined the AUA on December 28, 2006.
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European Urology - Feasibility of Percutaneous Nephrolithotomy under Assisted Local Anaesthesia: A Prospective Study on Selected Patients with Upper Urinary Tract Obstruction
Monday, 01 January 2007
Volume 51, Issue 1, Pages 224-228 (January 2007) Abstract - Objective: To evaluate the feasibility of performing percutaneous nephrolithotomy (PCNL) under local anaesthesia in selected patients.
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Preventing Retrograde Stone Displacement During Pneumatic Lithotripsy for Ureteral Calculi using Lidocaine Jelly
Thursday, 14 December 2006
BERKELEY, CA (UroToday.com) - Retrograde displacement of calculi within the ureter during ureteroscopy and lithotripsy is a common and annoying complication.
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European Urology - Extracorporeal Shock Wave Lithotripsy 25 Years Later: Complications and Their Prevention
Friday, 24 November 2006
Volume 50, Issue 5, Pages 981-990 (November 2006) Abstract - Objective: We review the pathophysiology and possible prevention measures of complications after extracorporeal shock wave lithotripsy (ESWL).
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Progressive Increase of Lithotripter Output Produces Better In-Vivo Stone Comminution
Wednesday, 01 November 2006
BERKELEY, CA (UroToday.com) - How best to deliver shock wave lithotripsy remains an ongoing topic of study. What we have learned over the years is that treatment at a slow rate (60 shock waves/minute) is more effective than treatment at a rapid rate (e.g. 100 shock waves/minute).
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Closing the Tract of Mini-Percutaneous Nephrolithotomy with Gelatine Matrix Hemostatic Sealant Can Replace Nephrostomy Tube Placement
Tuesday, 31 October 2006
BERKELEY, CA (UroToday.com) - A recent study was performed by U. Nagele and colleagues from Tuebingen, Germany to evaluate the possibility of performing tubeless percutaneous nephrolithotomy utilizing an injection of gelatin matrix hemostatic sealant (FloSeal) to close the tract.
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European Urology - Steinstrasse 20 Years Later: Still a Problem After ESWL?
Monday, 02 October 2006
Volume 50, Issue 4, Pages 643-647 (October 2006) It is my pleasure and an honour to write an editorial about a very important paper published in 1988, mainly because Malcolm Coptcoat was an excellent scientist and a prominent member of that group of young European urologists who opened the way to modern endourology in the 1980s.
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Many Urinary Stones Can be Treated without Surgery
Monday, 02 October 2006
ANN ARBOR, MI (Press Release) - For many patients with urinary stone disease, treatment with a calcium-channel blocker or an alpha blocker can greatly improve their likelihood of passing their urinary stones, which may help these patients avoid surgery, according to an analysis by the University of Michigan Health System.
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Access-Related Complications During Percutaneous Nephrolithotomy: Urology Versus Radiology at a Single Academic Institution.
Wednesday, 13 September 2006
BERKELEY, CA (UroToday.com) - If you need a percutaneous renal access for stone management let a urologist do it!
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24th WCE 2006 - Poster Session VP3
Wednesday, 23 August 2006
This video poster section contained 25 abstracts on the percutaneous management of stone disease. These video posters as a whole were outstanding, rated among reviewers as the top 20% of abstracts submitted. Five abstracts stood out as the top in this session.
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24th WCE 2006 - Poster Session MP8-01
Wednesday, 23 August 2006
This poster section contained 30 abstracts on the subjects of medical treatment of stone disease and metabolic evaluation. Findings from the abstracts as a whole suggests an increasing popularity in the use of alpha-blockers in the medical management of distal ureterolithiasis and the benign effect of common soft drinks on 24-hour urine parameters.
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Focus on Stone Disease

Focus on Stone Disease condenses a selection of compelling and relevant science - on topic and chosen by the UroToday.com editorial staff.

Multimedia Presentations:

- Stones Management Course

Extracorporeal Shock Wave Lithotripsy (ESWL) Versus Percutaneous Nephrolithotomy (PCNL) in the Eradication of Persistent Bacteriuria Associated with Infected Stones

- UroToday International Journal

Open Surgery in the Management of Multiple and Staghorn Kidney Stones: Its Role in the Era of Minimally Invasive Techniques

- UroToday International Journal

'Crushing the Stone’: A Brief History of Lithotripsy, the First Minimally Invasive Surgery

- BJUI Mini Reviews

A Randomized Clinical Trial of Lidocaine Jelly for Prevention of Inadvertent Retrograde Stone Migration During Pneumatic Lithotripsy of Ureteral Stone

- Beyond the Abstract

‘Cutting for the Stone’: The Ancient Art of Lithotomy - BJUI Mini Reviews

- BJUI Mini Reviews

Tamsulosin Facilitates Earlier Clearance of Stone Fragments and Reduces Pain After Shockwave Lithotripsy for Renal Calculi: Results from an Open-Label Randomized Study

- Editorial by Ralph V. Clayman, MD

Pediatric Ureteroscopic Management of Intrarenal Calculi

- Editorial by Elspeth M. McDougall, MD

Pediatric Ureteroscopic Management of Intrarenal Calculi

- Read Another Viewpoint of the Article by Pasquale Casale, MD

Stone Attenuation and Skin-to-Stone Distance on Computed Tomography Predicts for Stone Fragmentation by Shock Wave Lithotripsy

- Editorial by Ralph V. Clayman, MD

A Randomized Clinical Trial of Lidocaine Jelly for Prevention of Inadvertent Retrograde Stone Migration During Pneumatic Lithotripsy of Ureteral Stone
- Editorial by Elspeth M. McDougall, MD

A Randomized Controlled Trial of Nephrostomy Placement Versus Tubeless Percutaneous Nephrolithotomy
- Editorial by Ralph V. Clayman, MD - Editor's Pick

Long-Term Outcomes of Percutaneous Nephrolithotomy Compared to Shock Wave Lithotripsy and Conservative Management
- Editorial by Ralph V. Clayman, MD

Long-Term Outcomes of Percutaneous Nephrolithotomy Compared to Shock Wave Lithotripsy and Conservative Management
- Read a "Beyond the Abstract" Contribution Written by the Authors of the Article

Management of 10-15 mm Proximal Ureteral Stones: Ureteroscopy or Extracorporeal Shockwave Lithotripsy?
- Editorial by Ralph V. Clayman, MD

The Effect of Shock Wave Rate on the Outcome of Shock Wave Lithotripsy: A Meta-Analysis
- Editorial by Ralph V. Clayman, MD

Percutaneous Nephrolithotomy Made Easier: a Practical Guide, Tips and Tricks
- BJUI Mini Reviews

Stone Disease in Conferences

Urolithiasis: Metabolic Evaluation and Medical Treatment - Session Highlight
- Reported by Christopher P. Evans, MD from the 84th Annual Meeting of the AUA - Western Section

Renal Stone Disease: Treatment for the 21st Century
- Slide Presentation by Culley C. Carson, MD, at the Masters in Urology Meeting - July 31, 2008 - August 2, 2008

Renal Stone Disease: Treatment for the 21st Century
- Read the Presentation Abstract by Culley C. Carson, MD

Post-Percutaneous Nephrolithotomy Bleeding Management. Lessons Learned in 20 Years - Session Highlight
- Reported by Aldrin Joseph R. Gamboa, MD from the AUA 2008 Annual Meeting

Alfuzosin Stone Expulsion Therapy for Distal Ureteral Calculi: A Double-Blind Placebo-Controlled Study - Session Highlight
- Reported by Michael K. Louie, MD from the AUA 2008 Annual Meeting

Natural History of Residual Fragments Following Percutaneous Nephrostolithotomy
- Reported by Elspeth M. McDougall, MD, from the AUA 2008 Annual Meeting