, Volume 46, Issue 3, pp 223–229 | Cite as

Physical therapy in the management of stone fragments: progress, status, and needs

  • Suoshi Jing
  • Qiongyan Gai
  • Xin Zhao
  • Juan Wang
  • Yuwen Gong
  • Yangyang Pang
  • Chen Peng
  • Yuejun Tian
  • Yuhan Wang
  • Zhiping Wang


With an increased risk of symptomatic events, the complications related to residual fragments are complex and intractable. The management of stone fragments is a challenge to urologists. This review focused on the progress, status, and needs of the newly developed physical therapies to remove fragments and improve the stone-free rate. Physical therapies, including mechanical percussion, diuresis, and inversion therapy, ultrasonic propulsion technology, glue–clot technology, and magnetization technology, will facilitate progress in endoscopic stone fragment retrieval.


Glue–clot technique Iron oxide microparticle(s) (Fe-MP) Ultrasonic propulsion Mechanical percussion, diuresis, and inversion (PDI) Residual fragment(s) (RF) Magnetization technology 



Burst wave lithotripsy


Clinically insignificant residual fragment(s)


Flexible URS


Iron oxide microparticle(s)


Phosphate-buffered saline


Percussion, diuresis, and inversion


Percutaneous nephrolithotomy


Residual fragment(s)


Retrograde intra-renal surgery


Shock wave lithotripsy


Stone-free rate


Significant residual fragment(s)




Ureteral access sheath


Ureteropelvic junction


Compliance with ethical standards

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors. No informed consent was necessary for the article, because all patient identifiers were expunged from the reviews.

Conflict of interest

The authors declare that there are no conflicts of interest for this article.


This study was supported by grants from the National Natural Science Foundation of China (Grant No. 81372733), Major Project of Gansu Provincial Science and Technology Department of China (Grant No. 1203FKDA032), and Gansu Provincial Science Fund for Young Scholars of China (Grant No. 1506RJYA247).


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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Institute of Urology, Lanzhou University Second Hospital, Key Laboratory of Urological DiseasesLanzhou University, Gansu Nephro-Urological Clinical CenterLanzhouChina

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