Urinary Stones Management

Dear Colleagues,

Urolithiasis is a relevant disease worldwide and its incidence has increasing in the last few years. Endourology, thanks to the technical improvements and the progresses in mini-invasive surgery, has become a relevant part of urological surgery, and endourological procedures are widely performed in all Urology departments. There are some milestones in the management of the disease, such as shock wave lithotripsy (SWL), rigid and flexible ureteroscopy (URS, RIRS), percutaneous nephrolitotomy (PCNL) and more recent developments as combined procedures (ECIRS) and robotic and laparoscopic surgery.

The miniaturization of instruments, the possibility of using new highly effective laser, the application of robotic mini-invasive surgery for urinary stones, the adoption of single use endoscopes, the prevention of infective complications after endourological procedure are some of the recent relevant topics of interest in urological research regarding urolithiasis and endourology.

Eventually, a more detailed focus on prevention in patients with recurrent urinary stones and the primary role for metabolic evaluation are further confirmation that urolithiasis has to be evaluated by urologists not only from the surgical point of view.

Finally, the recent pandemic emergency has dramatically changed the management of many benign conditions, such as urinary stones with various effects on clinical presentation and consequences on treatment decisions.

The aim of this Special Issue is to focus on urinary stones management both in terms of clinical and surgical practice in order to evaluate current evidence and to set the basis for future research in this crucial field of urological practice.  

Dr. Nazario Foschi
Guest Editor

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