26^th Global Nephrology, Urology and Kidney Failure Congress

Innovative Approaches to Stone Disease

Innovative approaches to managing stone disease are enhancing treatment options and improving patient outcomes. Advances in technology and surgical techniques have revolutionized the management of urinary stones, making procedures less invasive and more effective. Extracorporeal shock wave lithotripsy (ESWL) remains a popular non-invasive option, using sound waves to fragment stones for easier passage. However, for larger or complex stones, ureterostomy with laser lithotripsy is increasingly favoured, allowing for direct visualization and removal of stones with minimal recovery time. Recent innovations also include percutaneous which is particularly effective for large renal stones. Emerging technologies, such as flexible ureterostomy and robotic assistance, further enhance precision and success rates. Additionally, a greater understanding of the metabolic factors contributing to stone formation has led to individualized prevention strategies, including dietary modifications and pharmacotherapy aimed at reducing stone recurrence. Education on lifestyle changes, such as increased hydration and dietary adjustments, plays a crucial role in long-term management. As research continues, innovative techniques and a holistic approach will further advance the field of stone disease management.