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Open Access Highly Accessed Review

Recent finding and new technologies in nephrolithiasis: a review of the recent literature

Marco Rosa1*, Paolo Usai2, Roberto Miano3, Fernando J Kim4, Enrico Finazzi Agrò3, Pierluigi Bove3, Salvatore Micali4 and on the behalf of International Translational Research in Uro-Sciences Team (ITRUST)

Author affiliations

1 Department of Urology, University of Modena, Via del Pozzo, 71-41124, Modena, Italy

2 Department of Urology, University of Cagliari, Via Aurelio Nicolodi, 1 09123, Cagliari, Italy

3 Department of Urology, University “Tor Vergata”, Rome, Italy

4 Department of Urology, Denver Health Care Center, 777 Bannock Street, Denver, CO, 80204-4597, USA

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Citation and License

BMC Urology 2013, 13:10  doi:10.1186/1471-2490-13-10

Published: 16 February 2013

Abstract

This review summarizes recent literature on advances regarding renal and ureteral calculi, with particular focus in areas of recent advances in the overall field of urolithiasis. Clinical management in everyday practice requires a complete understanding of the issues regarding metabolic evaluation and subgrouping of stone-forming patients, diagnostic procedures, effective treatment regime in acute stone colic, medical expulsive therapy, and active stone removal. In this review we focus on new perspectives in managing nephrolitihiasis and discuss recentadvances, including medical expulsive therapy, new technologies, and refinements of classical therapy such as shock wave lithotripsy, give a fundamental modification of nephrolithiasis management. Overall, this field appears to be the most promising, capable of new developments in ureterorenoscopy and percutaneous approaches. Further improvements are expected from robotic-assisted procedures, such as flexible robotics in ureterorenoscopy.

Keywords:
Nephrolithiasis; New technologies; Diagnostic procedures; Risk factors; Ureterorenoscopy; Robotic-assisted surgery; Shock wave lithotripsy