The introduction of new treatment techniques for urinary stones requir
es a classification of our concepts concerning the application of thes
e various modalities. In order to individualize the treatment of stone
s as precisely as possible, the authors propose a clinical and therape
utic classification based on the characteristics of the stone, the sta
te of the urinary tract, the state of the parenchyma and renal functio
n, the site of the stone, its dimensions and consistency and the numbe
r of stones. On the basis of these criteria, renal stones can be class
ified into 4 types, ureteric stones can be classified into 3 types and
bladder and urethral stones can be classified into 2 types. The stone
s observed in each category are described together with the most appro
priate treatment.