Medical and economic rationale for the use of modern methods of treating urolithiasis

Relevance: Over the past decades, the incidence of urolithiasis has been steadily increasing, and the development of technology has led to the emergence of new methods of treating the disease. In the face of ever-increasing economic costs, information on the cost-effectiveness of various treatment options for urolithiasis is becoming increasingly relevant. Purpose: to analyze a review of modern publications on the clinical and economic effectiveness of modern methods of treatment of urolithiasis. Material and methods: based on economic efficiency, the article considers both drug treatment of urolithiasis - lithokinetic, litholytic therapy and metaphylaxis, and surgical methods - shock wave lithotripsy, contact ureterolithotripsy, retrograde intrarenal surgery, percutaneous nephrolithotomy. Results: In general, lithokinetic therapy is a cost-effective method of treating urolithiasis in the absence of the need for surgical treatment. The clinical efficacy of oral chemolysis has been studied sufficiently, but we have not found any economic justification in the literature...