Guidelines, curricula and recommendations for urolithiasis training

Technical errors count for 4.3% of total operative errors, with a greater proportion arising from poor decision-making. Urology is no exception to this, and it is essential that this be addressed within training programmes. Specific to the operating room, communication, teamwork, leadership and decision-making have been shown to be key skills. In minimally invasive procedures, such as ureteroscopy (URS) and Percutaneous Nephrolithotomy (PcNL), technical and cognitive skills are thought to be highly relevant.


EULIS has developed an evidence-based programme for ureteroscopy (PcNL in progress) training. Training for urolithiasis procedures should occur in a stepwise fashion, beginning with E-learning for theoretical training. This theoretical segment should at its core cover procedural related knowledge. Passing of these online modules is necessary before the trainee can embark on simulated hands-on training. Simulation training can take the form of one-hour long hands-on training courses. Modular progression is recommended, with ureteroscopy training occurring before percutaneous surgery due to its relative complexity.  Fellowship programmes are imperative and fully recommended for transition towards independent practice.

Coordinating Team

Kemal Sarica (TR), MD, PhD, Chair of EULIS

Kemal Sarica

Kamran Ahmed (GB), MBBS, MRCS, PhD, FRCS Urol, Associate Member of Working Group on Training in Endourology for Stones

Kamran Ahmed

Contributing Members

Abdullatif Aydin, Domenico Veneziano, Ben Van Cleynenbreugel, Ali Serdar Gozen, Andreas Skolarikos, Christian Sietz, Sven Lahme, Bhasker Somani, Francesco Sanguedolce, Evangelos Liatsikos, Jens Rassweiler, M. Shamim Khan, Prokar Dasgupta, Thomas Knoll, Juan Palou Redorta