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May 27, 2026Journal of Endourology

Shifting Paradigms in Stone Disease: How Geography, Training, and Technology Shape Endourologic Practice Worldwide

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Authors

ZSZorawar SINGHAAAtieh AshkezariASAaron Smith

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Overview

Randomized trial evaluates international endourology practices in stone treatment, suggesting a shift towards less invasive methods globally.

Key Points

  • This study evaluates how geography, surgeon training, and experience affect treatment choices for urolithiasis worldwide.
  • An online survey with 37 questions was sent to Endourology Society members.
  • Demographics, management strategies, and technical preferences were assessed among 300 respondents.
  • Descriptive statistics and subgroup analyses were performed based on geography, fellowship training, and years in practice.
  • Most respondents avoided intervention on asymptomatic 4–6 mm renal stones, especially in lower poles.
  • Retrograde intrarenal surgery (RIRS) was preferred for 6–15 mm stones, with variations based on geography and background.
  • Surgeons with less than 5 years in practice favored RIRS, while those with over 15 years focused on percutaneous nephrolithotomy (PCNL).

Cite This Study

SINGH et al. (2026) studied this question.

synapsesocial.com/papers/6a168b770c924ddd1bd5a45dhttps://doi.org/10.1177/08927790261451453
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Stone centers: a national survey on surgical techniques performed in Italy2024 · 1 citations
  2. 2Global status of SWL in the era of contemporary urinary stone management—a snapshot analysis amongst 3761 urologists2026
  3. 3Diagnosis And Treatment Trends In Pediatric Stone Disease: Preferences of Urologists In The Field2024
  4. 4Advances In Minimally Invasive Surgery For Urolithiasis A Comparative Analysis Of Techniques2025
  5. 5Management of urinary stones: state of the art and future perspectives by experts in stone disease2024 · 45 citations