FURL vs Mini-PCNL in 2 to 3 cm Stones - Takeaways - MDSpire

FURL vs Mini-PCNL in 2 to 3 cm Stones

Review reports comparable stone-free rates with suction-assisted ureteroscopy

  • By

  • Kathryn Wighton

  • April 17, 2026

  • 2 min

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  • 1

    Flexible ureteroscopy with lithotripsy (FURL) achieved comparable stone-free rates to mini-PCNL for 2 to 3 cm renal stones.

  • 2

    Immediate stone-free rates were 84% for FURL and 85% for mini-PCNL, with 3-month rates of 90% and 92%, respectively.

  • 3

    Suction-assisted FURL demonstrated lower intrarenal pressure, shorter hospital stays, and reduced postoperative pain compared to mini-PCNL.

  • 4

    FURL showed improved quality of life in patients and favorable safety profiles in pediatric and anatomically complex populations.

  • 5

    Treatment selection should be individualized, and further multicenter trials are needed to clarify FURL's role in larger stones.

Original Source(s)

FURL vs Mini-PCNL in 2 to 3 cm Stones

  • by Kathryn Wighton

  • April 17, 2026

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