Endourology & Stone Services, Barts and The London NHS Trust, West Smithfield, London, UK.
Urology. 2012 May;79(5):980-6. doi: 10.1016/j.urology.2011.09.014. Epub 2011 Nov 25.
The recent evolution in the management of vesical lithiasis is a result of the major advancements of modern endourology. The ideal method for achieving stone clearance, however, remains an issue of debate and evidence-based recommendations are lacking. Contemporary literature focuses on management options, such as extracorporeal shockwave lithotripsy, transurethral, percutaneous and minimally-invasive surgery, as well as state-of-the-art energy sources. Issues of particular interest include the results of comparative studies, the management of lithiasis in the paediatric population and the recent challenge of the traditional dogma that dictated BPH surgery for the management of vesical lithiasis secondary to bladder outlet obstruction.
膀胱结石治疗的最新进展是现代腔内泌尿学发展的结果。然而，实现结石清除的理想方法仍然存在争议，缺乏循证推荐。当代文献主要关注治疗选择，如体外冲击波碎石术、经尿道、经皮和微创外科以及最先进的能源。特别关注的问题包括比较研究的结果、小儿结石的处理以及最近对传统教条的挑战，即膀胱出口梗阻引起的膀胱结石应采用 BPH 手术治疗。
