Extracorporeal shock wave lithotripsy of proximal and distal ureteral stones

European Urology
B Pettersson, H G Tiselius

Abstract

Extracorporeal shock wave lithotripsy (ESWL) was used for treatment of 105 patients with ureteral stones. There were 77 stones in the upper part of the ureter, i.e. above the pelvic brim, and 28 in the lower part, i.e. below the sacroiliac joint. Successful fragmentation was attained in 101 (96%). In 93% of the patients with stones in the upper ureter and in 100% with stones in the lower ureter the fragments were eliminated completely. In 87% of the patients with stones in the upper ureter, a ureteral catheter was introduced under local anesthesia but without fluoroscopic control. It was thereby possible to remove 30% of the stones from the ureter to the kidney. For the remaining stones, saline was infused through the catheter during ESWL. For patients with stones in the lower part of the ureter, a ureteral catheter was passed in 79% and saline infused during treatment. Whereas some form of anesthesia was used for treatment of all upper ureteral stones, 89% of the treatments for lower ureteral stones were performed without anesthesia. Auxiliary procedures after ESWL were limited to four ureteral catheter manipulations for distal stones. Four proximal stones which remained unaffected by ESWL had to be treated by open surgery (3 ...Continue Reading

Citations

Dec 1, 1993·Journal of Endourology·J B HollanderP M Knapp
Feb 1, 1989·The Journal of Urology·H G TiseliusA Andersson
Jun 13, 2001·Clinical Orthopaedics and Related Research·W SchadenA Sailler
Feb 1, 1996·Journal of Endourology·S S Yang, J S Hong
Dec 1, 1995·Scandinavian Journal of Urology and Nephrology·K Lehtoranta
Jan 1, 1990·Scandinavian Journal of Urology and Nephrology·J AdolfssonP Ekman
Aug 1, 1990·The Journal of Urology·N Rodrigues Netto JúniorJ F Claro
May 1, 1989·British Journal of Urology·B Pettersson, H G Tiselius
Oct 1, 1989·The Journal of Urology·K S AckaertF H Schröder
Jul 1, 1991·The Journal of Urology·N R Netto JúniorP L Cortado
Dec 23, 2003·Veterinary Surgery : VS·Scott R McClureM Randy White

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