PMID: 8973667Dec 1, 1996Paper

Extracorporeal shock-wave lithotripsy monotherapy in renal pelvic ectopia

Urology
R F Talic

Abstract

To determine the efficacy of extracorporeal shock-wave lithotripsy (ESWL) in the treatment of urinary stones in pelvic kidneys. Fourteen male patients with renal pelvic ectopia and stones were treated with ESWL monotherapy using the unmodified Dornier HM3 lithotriptor with its original generator and ellipsoid. Twelve patients were treated in the prone position using cystoscopically placed ureteral catheters to aid in fluoroscopic localization, whereas 2 patients were treated in the supine position. A review of their stone disease, ESWL treatment, ancillary procedures, outcome, and complications is presented. All pelvic kidneys were free of infection and obstruction in this group. The mean stone burden was 30.2 +/- 37.8. Most patients required a single session (9 of the 14 [64%]), 2 patients required two sessions, and 2 patients required multiple sessions. The average number of shock waves per session was 1689 (range 450 to 3500), with average kilovoltage of 21.5 (range 18 to 24). Eighty-two percent of the patients followed (9 of 11) were stone-free at 3 months. No ancillary endourologic procedures were required to deal with the presenting stones. Obstructive steinstrasse complicated treatment in only 2 patients (14%) and was su...Continue Reading

Citations

Feb 15, 2005·Urology·Alon Z WeizerGlenn M Preminger
Sep 18, 2007·Journal of Endourology·Nadya M CinmanArthur D Smith
May 25, 2012·AJR. American Journal of Roentgenology·Phillip M ChengVinay A Duddalwar
Oct 13, 2006·Current Opinion in Urology·D A Schulsinger, R E Sosa
Aug 7, 2007·The Urologic Clinics of North America·Mantu Gupta, Michael W Lee
Mar 1, 2006·Urology·Brian R MatlagaJames E Lingeman
Jun 17, 2015·Nature Reviews. Urology·Michael S Borofsky, James E Lingeman
Aug 6, 2019·The Journal of International Medical Research·Chenglu WangBoxin Xue
Apr 1, 2017·The Kaohsiung Journal of Medical Sciences·Giray ErginHasan Biri
Nov 28, 2012·The Urologic Clinics of North America·Yung K TanMantu Gupta

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