Shock-wave lithotripsy or ureterorenoscopy for renal stones?

Kidney stones are a common condition with high direct and indirect costs; to date, the optimal urological approach for some particular presentations including non-lower pole kidney stones between 10 and 20 mm of diameter is not clear. A limited number of randomized controlled trials and observational longitudinal studies suggests that ureterorenoscopy (URS) could be superior to shock-wave lithotripsy (SWL) in achieving stone-free rates in this setting; however, such reports are generally weakened by a number of limitations including small sample size and scarce control for confounding. In this issue, Fankhauser et al. [1] report the results of a large observational retrospective study on the comparative efficacy and safety of URS and SWL for the treatment of previously untreated kidney stones.

Clinical kidney journal. 2018 Apr 11 [Epub]

Pietro Manuel Ferraro, Francesco Pinto, Giovanni Gambaro

Nefrologia, Fondazione Policlinico Universitario A. Gemelli-Università Cattolica del Sacro Cuore, Roma, Italy., Urologia, Fondazione Policlinico Universitario A. Gemelli - Università Cattolica del Sacro Cuore, Roma, Italy.