Endoscopic surgery is conventional and principal operational method in treatment of upper urinary tract urolithiasis. Introduction of extracorporeal shock wave lithotripsy to routine practice reduces number of endoscopic operations, nevertheless it is still not replacement of percutaneous nephrolitotomy. In treatment management decisions, the main criterion is implicit effectivity – „success rate“, eventually qoutient of effectiveness. It is necessary to have in mind number, size, localization and composition of urolithiasis, anatomical conditions and individual circumstances. Article reviews present opinions on indication criteria, technic of surgery, management in complicated cases, as stone burden urolithiasis, and summary of most common complications and its solutions.

        Key words: upper urinary tract, extracorporal lithotripsy, percutaneous nephrolithotomy, treatment management