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Related Experiment Video

Updated: Apr 28, 2026

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[Ureteroscopy: is it the best?].

Francesco Porpiglia1, Cristian Fiori, Massimiliano Poggio

  • 1Divisione di Urologia, Dipartimento di Oncologia, Ospedale San Luigi Gonzaga, Orbassano (TO) - Italy.

Urologia
|June 11, 2014
PubMed
Summary
This summary is machine-generated.

Ureteroscopy (URS) offers a high success rate for treating ureteral stones, outperforming shock wave lithotripsy for distal stones. This minimally invasive approach is also effective for proximal stones and reduces the need for repeat procedures.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Urolithiasis treatment has evolved from open surgery to minimally invasive techniques.
  • Technological advancements in ureteroscopes have improved efficacy and reduced instrument size.

Purpose of the Study:

  • To review the current role of ureteroscopy (URS) in managing urinary stones.
  • To assess the effectiveness of URS compared to other modalities like ESWL and RIRS.

Main Methods:

  • Non-systematic literature review.
  • Analysis of recent clinical guidelines and published studies on URS, ESWL, and RIRS.

Main Results:

  • Ureteroscopy achieves higher stone-free rates than ESWL for distal ureteral stones of all sizes.
  • Endoscopic treatment is a first-line option for proximal ureteral stones >10 mm, often alongside ESWL.
  • Retrograde Intra-Renal Surgery (RIRS) is a primary treatment for renal stones <20 mm and a secondary option for larger stones.

Conclusions:

  • Rigid or flexible ureteroscopy is suitable for the majority of urinary stones.
  • Further research is needed to define the role of endoscopy for large renal stones, particularly versus percutaneous methods.