Abstract
Urinary stone disease is labeled as civilization disease. Men are affected more commonly compared to women.
Diagnosis of urolithiasis made a huge leap with an introduction of non-contrast helical CT. Management of urinary stone disease can be conservative (analgesia, expulsion therapy, dissolution therapy and metaphylaxis) or active.
Active approaches include urine diversion, extracorporeal shock wawe lithotripsy, ureteroscopy and retrograde intrarenal surgery, percutaneous procedures and under special circumstances also laparoscopic and open surgery. Every patient must be approached individually with regards to all factors.
Urolithiasis has a high risk of recurrence in the order of 50% within 5 years.
