This review summarizes recent literature on advances regarding renal and ureteral
calculi, with particular focus in areas of recent advances in the overall field
of urolithiasis. Clinical management in everyday practice requires a complete
understanding of the issues regarding metabolic evaluation and subgrouping of
stone-forming patients, diagnostic procedures, effective treatment regime in
acute stone colic, medical expulsive therapy, and active stone removal. In this
review we focus on new perspectives in managing nephrolitihiasis and discuss
recentadvances, including medical expulsive therapy, new technologies, and
refinements of classical therapy such as shock wave lithotripsy, give a
fundamental modification of nephrolithiasis management. Overall, this field
appears to be the most promising, capable of new developments in ureterorenoscopy
and percutaneous approaches. Further improvements are expected from
robotic-assisted procedures, such as flexible robotics in ureterorenoscopy
