Özet:

Urine system stone disease is a health problem that is frequently observed in society. In the last two cases, minimal invasive methods such as percutaneous nefrolithotomy (PNL), non-body shock wave litotripsy (ESWL) and retrograde intrarenal surgery (RIRC) have become popular. In the 2014 urine system stone disease guidelines of the European Urology Association, PNL, ESWL is recommended for stones below 10 mm as a first stage treatment for kidney stones above 20 mm. In stones between 10 and 20 mm, the localization in which the stone is located, the stone genus, the calcium anatomy and the patient's factors are activated. RIRC is an effective and reliable method in the treatment of stone along with the Holmium YAG laser. Initially, several stones in the underpole of the kidneys were used in a narrower group of phenomena, such as failure of ESWL, the presence of complicated diseases; the development of surgical experience has become an alternative treatment modality to other minimal invasive methods as a result of the reduction of the diameters of the ureteroscopes, the development of better vision optics and the diversification of equipment. Especially in the lower pol stones, ESWL has been shown to be superior with higher full-stain rates and less additional surgery requires. In comparative metaanalysis studies with PNL, the full stainlessness rates of PNL are found higher. The short duration of stay in the hospital, the short duration of surgery can be indicated as the advantage of the RIRC method. With the development of flexible tools and surgical equipment technology in the future, it is believed that the variety of phenomena used by RIRC will increase. (JAREM 2015; 5: 85-8)

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