title: Invasive treatment trends in urinary calculi in a third level hospital.
abstract: OBJECTIVE
  In the following study, we observe the progress of various invasive calculi treatments that have taken place in our hospital in the last 15 years.
  
  
  METHODS
  We extracted data from our hospital database on patients who underwent extracorporeal shock wave lithotripsy (ESWL), endoscopic surgery and open surgery. We analyzed how the incidence of these treatments has evolved over the last 15 years. We also studied the number of publications in PubMed that reference invasive calculi treatments.
  
  
  RESULTS
  From January 1998 to December 2012, a total of 10,947 patients were treated instrumentally for lithiasis, 9,695 of whom (90.4%) underwent ESWL and 1,034 of whom underwent endoscopic or open surgery (9.6%). The incidence of lithotripsy treatments reached its maximum in 2006, with a progressive reduction thereafter. The incidence of endoscopic surgery increased progressively until 2009 and then leveled off. We can see how in recent years there has been a clear increase in the number of studies that have covered endoscopic surgery, with a decreasing number covering ESWL.
  
  
  CONCLUSIONS
  In our community, ESWL remains the most widely used invasive treatment for calculi. In recent years, there has been a reduction in the number of ESWL treatments and an increase in the number of endoscopic treatments, with open surgery showing a clearly decreasing trend.
authors.affiliation: Servicio de Urología, Hospital Universitario Carlos Haya, Málaga, España. Electronic address: eggalisteo@yahoo.es.
authors.forename: E
authors.initials: E
authors.lastname: García-Galisteo
authors.affiliation: Servicio de Urología, Hospital Universitario Carlos Haya, Málaga, España.
authors.forename: N
authors.initials: N
authors.lastname: Sánchez-Martínez
authors.affiliation: Servicio de Urología, Hospital Universitario Carlos Haya, Málaga, España.
authors.forename: P
authors.initials: P
authors.lastname: Molina-Díaz
authors.affiliation: Servicio de Urología, Hospital Universitario Carlos Haya, Málaga, España.
authors.forename: B
authors.initials: B
authors.lastname: López-Rueda
authors.affiliation: Servicio de Urología, Hospital Universitario Carlos Haya, Málaga, España.
authors.forename: V
authors.initials: V
authors.lastname: Baena-González
mesh_terms: D006801:Humans; D008096:Lithotripsy; D009403:Nephrostomy, Percutaneous; D062606:Tertiary Care Centers; D013812:Therapeutics / Q000639:trends; D013997:Time Factors; D018666:Ureteroscopy; D014545:Urinary Calculi / Q000628:therapy*
keywords: Cirugía abierta; Extracorporeal shock wave lithotripsy; Litotricia extracorpórea por ondas de choque; Nefrolitotomía percutánea; Open surgery; Percutaneous nephrolithotomy; Tendencias de tratamiento; Treatment trends; Ureteroscopia; Ureteroscopy; Urolithiasis; Urolitiasis