Calyceal diverticula are usually asymptomatic intrarenal anatomical aberrat
ions, unless they become a source of recurrent hematuria or manifest as pai
n related to stones within. Various treatment options exist, ranging from n
oninvasive shock wave lithotripsy (SWL) to percutaneous or laparoscopic pro
cedures. Ureter-renoscopic retrograde techniques, in selected cases, offer
the efficacy of intracorporeal lithotripsy and also address the primary ana
tomical problem, while having less morbidity than percutaneous or laparosco
pic approaches.