Percutaneous nephrolithotomy versus retrograde intrarenal surgery for renal stones: a Cochrane Review.

Despite shortcomings in most studies that lowered our certainty in the estimates of effect to mostly very low or low, we found that PCNL may improve stone-free rates and reduce the need for secondary interventions while not impacting major complications. Ureteral stricture rates may be similar compared to RIRS. We expect the findings of this review to be helpful for shared decision-making about management choices for individuals with renal stones.