Current Minimally Invasive Intraluminal Stone Removal Techniques Explained

In recent years, intraluminal techniques for stone removal have become a major trend in urology. Hospitals ranging from top medical centers to local county facilities are now equipped with advanced tools for minimally invasive stone treatment. These techniques primarily target two types of urinary tract stones, as outlined below.

1. Ureteroscopic Intraluminal Techniques for Stone Management

Ureteroscopy is widely used for treating stones located in the ureter and kidney. This method includes both rigid and flexible ureteroscopes. It is especially effective for patients with small stones or low stone burden, allowing for quick and efficient stone removal in a single procedure.

2. Percutaneous Nephroscopy for Complex Stone Cases

Percutaneous nephrolithotomy (PCNL) is typically recommended for patients with large stone burdens or severe hydronephrosis. Compared to repeated ureteroscopic procedures, PCNL allows for the removal of large stones through a slightly larger access channel in one session. This significantly reduces the need for multiple surgeries, minimizing both physical discomfort and financial strain on the patient.

3. Laparoscopic Stone Removal as an Alternative Option

Although less commonly performed, some medical centers still use laparoscopic techniques to remove stones by surgically opening the urinary tract. This method is generally reserved for complex or unusual cases where other minimally invasive approaches may not be suitable.

Minimally invasive techniques are primarily defined by the use of ureteroscopy and percutaneous nephroscopy. Each method has its own advantages depending on the patient's condition, stone size, and anatomical factors. Choosing the most appropriate technique can significantly improve treatment outcomes while enhancing patient comfort and recovery time.