Extracorporeal Shock Wave Lithotripsy Monotherapy for Staghorn Stones with the second Generation Lithotriptors

Abstract

No AccessJournal of Urology1 Feb 1990Extracorporeal Shock Wave Lithotripsy Monotherapy for Staghorn Stones with the second Generation Lithotriptors Hendrik Vandeursen, and Luc Baert Hendrik VandeursenHendrik Vandeursen More articles by this author , and Luc BaertLuc Baert More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)39925-1AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We reviewed 5 patients with staghorn stones to determine whether extracorporeal shock wave lithotripsy monotherapy is a successful alternative to the classical approaches (open operation versus percutaneous lithotripsy alone or with extracorporeal shock wave lithotripsy). Results free of stones at long-term followup (greater than 3 months) were obtained in 28 of 50 patients (56%) and when we included residual fragments with a diameter of less than 4 mm. (9 patients, or 18%) an over-all success rate of 74% (37 patients) was achieved. Of the patients 41 had a Double-J† Medical Engineering Corp., New York, New York. stent to improve fragment evacuation (5 experienced obstructive elimination), while uncomplicated evacuation was noted in the remaining 9 without a stent. No case of septicemia after extracorporeal shock wave lithotripsy was observed but all patients had received strict antimicrobial prophylaxis. (J. Urol, 143: 252–256, 1990). © 1990 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByMeretyk S, Gofrit O, Gafni O, Pode D, Shapiro A, Verstandig A, Sasson T, Katz G and Landau E (2018) Complete Staghorn Calculi: Random Prospective Comparison Between Extracorporeal Shock Wave Lithotripsy Monotherapy and Combined With Percutaneous NephrostolithotomyJournal of Urology, VOL. 157, NO. 3, (780-786), Online publication date: 1-Mar-1997.Fine J, Pak C, Preminger G, Segura J and Marberger M (2018) Effect of Medical Management and Residual Fragments on Recurrent Stone Formation Following Shock Wave LithotripsyJournal of Urology, VOL. 153, NO. 1, (27-33), Online publication date: 1-Jan-1995.Lingeman J, Siegel Y, Steele B, Nyhuis A and Woods J (2018) Management of Lower Pole Nephrolithiasis: A Critical AnalysisJournal of Urology, VOL. 151, NO. 3, (663-667), Online publication date: 1-Mar-1994.Lam H, Lingeman J, Russo R and Chua G (2018) Stone Surface Area Determination Techniques: A Unifying Concept of Staghorn Stone Burden AssessmentJournal of Urology, VOL. 148, NO. 3 Part 2, (1026-1029), Online publication date: 1-Sep-1992.Sampaio F and Aragao A (2018) Inferior Pole Collecting System Anatomy: Its Probable Role in Extracorporeal Shock Wave LithotripsyJournal of Urology, VOL. 147, NO. 2, (322-324), Online publication date: 1-Feb-1992.Lam H, Lingeman J, Barron M, Newman D, Mosbaugh P, Steele R, Knapp P, Scott J, Nyhuis A and Woods J (2018) Staghorn Calculi: Analysis of Treatment Results between Initial Percutaneous Nephrostolithotomy and Extracorporeal Shock Wave Lithotripsy Monotherapy with Reference to Surface AreaJournal of Urology, VOL. 147, NO. 5, (1219-1225), Online publication date: 1-May-1992.Netto N, Claro J, Lemos G and Cortado P (2018) Renal Calculi in Lower Pole Calices: What is the Best Method of Treatment?Journal of Urology, VOL. 146, NO. 3, (721-723), Online publication date: 1-Sep-1991.Vandeursen H, Pittomvils G, Boving R and Baert L (2018) High Energy Pulsed Dye Laser Lithotripsy: Management of Ureteral Calcium Oxalate Monohydrate CalculiJournal of Urology, VOL. 145, NO. 6, (1146-1150), Online publication date: 1-Jun-1991.Vandeursen H, Devos P and Baert L (2018) Electromagnetic Extracorporeal Shock Wave Lithotripsy in ChildrenJournal of Urology, VOL. 145, NO. 6, (1229-1231), Online publication date: 1-Jun-1991. Volume 143Issue 2February 1990Page: 252-256 Advertisement Copyright & Permissions© 1990 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Hendrik Vandeursen More articles by this author Luc Baert More articles by this author Expand All Advertisement Loading ...