Urolithiasis is a common medical condition that may affect patients of all age groups. Combining an overall increase in the prevalence of kidney stones and an increasing life-expectancy, we can expect to see an additional number of older individuals with kidney stones. The geriatric patient with urolithiasis may present differently than their younger counterparts, have more medical comorbidities, and need different preoperative, intraoperative, and postoperative care. This chapter is designed to explore the prevalence of urolithiasis in the elderly population, discuss differences in clinical presentation, and outline treatment options and outcomes in the endourological management of older adults.
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