The Center for Endourology and Stone Disease is located within the Glickman Urological & Kidney Institute. Through a multidisciplinary approach, urologists and nephrologists explore all medical and surgical treatment options to ensure the most successful possible outcome for each patient. Our program is the busiest in the United States with more than 1,000 surgical procedures for kidney stones performed every year.

Experienced urologists and nephrologists investigate the causes of kidney stone formation through 24-hour urine analyses and blood tests. They then develop prevention strategies tailored to individual patients. Our patients receive a better understanding of why their kidney stones develop and what lifestyle changes they can make to prevent them.

Patients are provided with dietary recommendations based upon the results of their 24-hour urine evaluation. While encouraging increased fluid intake is a universal recommendation, all dietary interventions are not the same. Tailored dietary plans are mutually agreed upon with the patient, label reading is discussed and other health-related issues are incorporated into the dietary instructions for a comprehensive approach to managing kidney stone recurrence.

At Cleveland Clinic, our urologists are trained in performing shockwave lithotripsy under conscious sedation. This technique is used in select patients, decreasing the risks and recovery time associated with the procedure. Cleveland Clinic Urologists were among the first in Ohio to use shockwave lithotripsy, and more than 3,000 patients have undergone it here.

Percutaneous nephrolithotomy is used for larger stones. Our urologists perform on average four to six percutaneous nephrolithotomy procedures per week – more than the average urologist in the United States performs annually. Cleveland Clinic urologists also employ a “tubeless” approach in select patients to avoid the pain and inconvenience of a tube coming out the back.

What We Treat

What We Treat

Kidney Stones Treatment Guide

Learn more about Kidney Stones and how it can affect you.
Download the Treatment Guide

Kidneys Hurt? You Could Be Stoned! (Infographic)


Treatments and Procedures

  • Observation and Stone Passage
  • Minimally Invasive Interventions:
    • Cystolithoplaxy
    • Extracorporeal shockwave lithotripsy
    • Holmium Laser Lithotripsy
    • Percutaneous nephrolithotomy
    • Shock Wave Lithotripsy (SWL)
    • Ureteroscopy
  • Surgical Intervention:
    • Autotransplant for chronic kidney pain


Manoj Monga , MD
Center Director, Stevan B Streem Center for Endourology & Stone Disease