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The role of ESWL in the treatment of calculi with anomalous kidneys.

Abstract：

OBJECTIVE:To evaluate the efficacy of Extracorporeal shock wave lithotripsy (ESWL) in renal anomalies. MATERIAL AND METHODS:From 1991 to May 1995. 53 patients with calculi in anomalous kidneys presented to our clinic for treatment with ESWL. Average patient age was 39 years, a range of 6-66 years. These patients (32 male and 21 female) underwent ESWL treatments. ESWL was performed in 27 patients with urolithiasis in duplex system, 18 with horse-shoe kidneys, 4 with unilateral renal agenesis, 2 with pelvic ectopic kidneys, 1 with sigmoid kidney and 1 with L-shaped kidney. RESULTS:Among patients who completed ESWL the rate free of stones was 60.4% and the rate of clinically insignificant residual fragments was 30.2%. No sign of stone disintegration was observed in 2 patients. They underwent open surgery. The shock waves per therapy varied between 811 and 18,101. Double-J stents were placed in 13 patients. CONCLUSION:Most patients with calculi in anomalous kidneys can be managed primarily with ESWL.

journal_name

Eur Urol

journal_title

European urology

authors

Semerci B,Verit A,Nazli O,Ilbey O,Ozyurt C,Cikili N

doi

10.1159/000474472

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

302-4

issue

3

eissn

0302-2838

issn

1873-7560

journal_volume

31

pub_type

杂志文章

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