[Treatment of reno-ureteral calculi using ESWL and endourologic technics].

Abstract:

:In recent years, there has been a complete change in the treatment of reno-ureteral lithiasis due to the availability of new endourological techniques (percutaneous nephrolithotomy, ureteroscopy) and particularly due to the development of extracorporeal shock wave lithotripsy (ESWL). The present study assessed the combination of endourological procedures and ESWL in the treatment of calculi localized in the kidney and lumbar ureter. A prospective study was undertaken to assess 1,500 renal units with calculi in the renal cavity and lumbar ureter that had been submitted to treatment by ESWL and endourological techniques. The results demonstrate that ESWL combined with percutaneous and endoscopic techniques affords effective treatment without major complications in 85.4% of calculi in the renal cavity and lumbar ureter. Treatment with ESWL as monotherapy was successful in 45.6% of the cases and endourological management prior to ESWL was successful in 39.8% of the cases. The most common complication of ESWL was colic and/or kidney referred discomfort (28.6%) and the most important complication was urinary tract obstruction following ESWL (9.67%). These required maneuvers to remove post-ESWL obstruction in 6.1% of the renal units treated. The number of shock waves employed and the kV utilized were associated to intense hematuria and perirenal hematoma. The combination of endourological techniques with extracorporeal shock wave lithotripsy completely eliminated calculi in 80.5% of the renal units at 3 months. 10.5% had remaining stone fragments that could be spontaneously passed, and 7.6% had larger residual fragments that could not be passed.

journal_name

Arch Esp Urol

authors

Rodríguez Vela L,Ibarz Navarro JM,Rioja Sanz C,Larumbe Zaru C,Villanueva Benedicto A,Lázaro Castillo J,Rioja Sanz LA

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

38-56

eissn

0004-0614

issn

1576-8260

journal_volume

42 Suppl 1

pub_type

杂志文章
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  • [Treatment of small renal masses with laparoscopic radiofrequency ablation].

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    pub_type: 杂志文章,meta分析,评审

    doi:

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    doi:

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    doi:

    authors: Romero Pérez P,Lobato Encinas JJ,Megía Carrigos J,Gasso Matoses M,Pérez Llorca LA,Pelluch Auladell A,Mirallinares A

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    authors: López Martí E,Prats López J,Prera Vilaseca A,Combalia Soriano N

    更新日期:1992-03-01 00:00:00

  • [Endoscopic pyelotomy with the "ACUCISE" probe].

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    authors: Puppo P,Ricciotti G,Bottino P,Germinale F,Perachino M

    更新日期:1991-06-01 00:00:00

  • [Retroperitoneal fibrosis secondary to treatment with L-dopa analogues for Parkinson disease].

    abstract:OBJECTIVES:The present study describes two patients with retroperitoneal fibrosis following prolonged use of bromocriptine and pergolide for Parkinson's disease. Both patients also presented severe atheromatosis. METHODS:Similar cases reported in the literature are reviewed and the possible relationship between the us...

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    doi:

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  • [New treatments for germ cell tumors with poor prognosis].

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