Urolithiasis refers to the development of stones in the urinary system and is classified on the basis of location of stone formation, into nephrolithiasis i.e. development of kidney stones, ureterolithiasis i.e. stone formation in ureters, and cystolithiasis i.e. stone formation in the bladder. Stone formation constitutes one of the most common lifestyle disorders and poses a major healthcare concern today. According to the European Association of Urology, around 10% of the global population is suffering from kidney stones. Also, the recurrence rate of this disorder is approximately 50% in a patient’s lifetime. The rising prevalence and incidence rates of urinary stones coupled with the increasing preference for minimally invasive surgeries across the globe are one of the crucial factors contributing to an increased demand for urolithiasis management procedures.
North America Urolithiasis Management Devices Market Revenue, 2014 - 2024 (USD Million)
Urinary stones can generally be classified on the basis of their size, location inside the body, and anatomical characteristics of the urogenital tract. Based on these features, and primarily the stone size, various approaches can be applied for their removal. Stone sizes are stratified into those measuring up to 5 mm, 5-10 mm, 10-20 mm, and >20 mm and larger. To achieve optimum results, treatment approaches are customized according to patient needs. On the basis of available treatment types, the global urolithiasis management devices market is categorized into Extracorporeal Shock Wave Lithotripsy (ESWL), Intracorporeal Lithotripsy, Percutaneous Nephrolithotomy, and other treatments.
ESWL is a minimally invasive treatment widely used till date. ESWL market was the largest in terms of revenue in the year 2015 owing to easy access to this treatment. This treatment is commonly provided by healthcare providers and is cost-efficient. In this technique, shock waves are primarily employed to disintegrate stones of diameter range 4 mm-2 cm into smaller pieces allowing their easy passage out of the body. It is usually an outpatient treatment as there is no need of hospital stay and works well in case of relatively smaller urinary stones which are common in patients with stones. The types of shock wave generators used are electrohydraulic, piezoelectric, and electromagnetic.
Intracorporeal lithotripsy refers to the visualization of stones employing endoscopy followed by simultaneous fragmentation of the stones with the help of lasers into passable pieces. Patients with large stones who do not form suitable candidates for ESWL generally undergo intracorporeal lithotripsy. Intracorporeal lithotripsy treatments require minimal insertion and provide an almost 95% stone-free rate. The procedure is performed under anesthesia and is available easily in hospitals and clinics worldwide. Intracorporeal lithotripsy yields an impressive stone free outcome and although an invasive procedure, it requires a short time with no specific adverse effects as compared to ESWL. Hence, it is likely to be the more preferred stone removal treatment over the forecast period.
Surgical removal of stones is an inevitable option in cases where stones block the flow of urine due to their large size. Ambulatory surgical centers are slowly gaining popularity as they offer time saving and cost effective treatment options and reduce the prolonged hospital stay. The technological advancements in the field of surgery, such as the availability of minimally invasive endoscopes, scalpels, baskets, etc., enable urologists to perform painless stone removal. The preference for ambulatory surgical centers for the treatment of urinary stones would be greater in the developed countries, such as the U.S., Canada, the UK, and Germany, due largely to their easy accessibility. Thus, this segment is expected to exhibit the highest growth rate during the forecast period.
North America held the majority market share of the total market at around 37% in the year 2015. In the U.S., as stated by the American Urological Association, approximately 12% of the population suffers from kidney stones with a recurrence rate of almost 50%. The rising prevalence and incidence rates of urolithiasis in the North American countries are propelling the market growth.
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