MODERN APPROACH TO THE PROBLEM OF UROLITH IASIS

The articlea analyses experience in the management of about 1,500 pati ents with urolithiasis who underwent in- and out-patient treatment at the Urological Clinic of the Moscow Regional Scientific Research Clini cal Institute in 1990-1993. Indications were determined for applying l ithotrispy in patients with stones in anomalous kidneys, in cases of a solitary kidney, and children with urolithiasis. The tactics of manag ement of large kidney stones is described. The use of endoscopic metho ds of treatment (percutaneous and transurethral) is evaluated. Modern methods of urolithiasis treatment were applied instead of an open oper ation in 90% of patients.