| SYMPOSIUM |
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| Year : 2013 | Volume
: 29
| Issue : 3 | Page : 195-199 |
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Management of 1-2 cm renal stones
Aneesh Srivastava, Saurabh S Chipde
Department of Urology and Kidney Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
Correspondence Address:
Aneesh Srivastava
Department of Urology and Kidney Transplantation, Sanjay Gandhi Post Graduate institute of Medical Sciences, Lucknow
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0970-1591.117280
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Introduction: The preferred treatment of <1cm stone is shockwave lithotripsy (SWL), while that of stone >2 cm is percutaneous nephrolithotomy (PCNL), but treatment of 1-2 cm renal stones is a controversial issue. We searched the literature to present a comprehensive review on this group.
Material and Methods: Pubmed search of literature was done using the appropriate key words. We separately discussed the literature in lower polar and non lower polar stone groups.
Results: For non lower polar renal stones of 1-2 cm, SWL is preferred approach, while for the lower polar stones; literature favors the use of PCNL. Retrograde intrarenal surgery (RIRS) is emerging as a promising technique for these calculi.
Conclusions: Treatment of renal stone disease depends on stone and patient related, as well as on renal anatomical factors. Treatment should be individualized according to site of stone and available expertise. |
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