Flexible ureteroscopy versus extracorporeal shock wave lithotripsy in the treatment of renal lithiasis
DOI:
https://doi.org/10.63688/g1axh497Keywords:
kidney stones, ureteroscopy, extracorporeal shock wave lithotripsyAbstract
Introduction: Kidney stones are a common condition whose treatment selection depends on stone size, location, and characteristics, as well as individual patient factors. Flexible ureteroscopy (FURS) and extracorporeal shock wave lithotripsy (ESWL) are widely used minimally invasive treatment options.
Objective: To synthesize the scientific evidence on the efficacy and clinical outcomes of FURS compared with ESWL for the treatment of kidney stones.
Methods: A narrative literature review was conducted using PubMed, Scopus, SciELO, and Google Scholar. Studies published between 2021 and March 2026 were included. Twelve studies were selected: 9 primary and 3 complementary studies.
Results: FURS showed higher stone-free rates in different clinical scenarios, particularly for lower-pole stones and larger calculi. ESWL presented advantages related to lower invasiveness, costs, and hospital stay.
Conclusions: Both techniques are effective; therefore, treatment selection should be individualized according to stone characteristics, patient factors, and available resources.
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Copyright (c) 2026 Adriana Micaela Aguayo Peralta, Joel Sebastian Chango Yosa, Anthony Bryan Cevallos Falcones, María Daniela Paladines García, Nathaly Pamela Mora Pinos (Autor/a)
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