Ureteroscopy for stone disease: expanding roles in the modern era

The prevalence of urolithiasis is increasing worldwide and is causing significant morbidity and cost to the healthcare systems. While ureteroscopy (URS) has been established as a treatment option, our review highlights the expanding role of URS for the management of more complex stones and patients in the modern era.

Ureteroscopy has shown to have good outcomes with stone free rates (SFR) comparable to other treatment modalities. Relevant publications have been identified. Their findings were critically appraised and used to formulate clinically oriented conclusions.

The use of URS has increased and now includes URS management for large stones, bilateral stone disease, obesity, pregnancy, pediatrics, solitary kidney, horseshoe kidney and patients with a bleeding diathesis.

With advances in URS technique and technology, its role has expanded to offer treatment in difficult clinical scenarios with good outcomes.

Central European journal of urology. 2017 Jun 11 [Epub]

Adrian Ho, Piyush Sarmah, Ewa Bres-Niewada, Bhaskar K Somani

University Hospital Southampton NHS Trust, United Kingdom., Royal United Hospital, Bath, United Kingdom., Medical University of Warsaw, Department of Urology, Warsaw, Poland.