The Japanese Journal of Urology
Online ISSN : 1884-7110
Print ISSN : 0021-5287
ISSN-L : 0021-5287
EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY MONOTHERAPY FOR THE TREATMENT OF STAGHORN CALCULI
Yoshinari OnoMasafumi SahashiJohji WatanabeShin YamadaOsamu KamihiraSatoshi HirabayashiYojiro NakanoKohji MiyakeShinichi Ohshima
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Keywords: staghorn, ESWL, monotherapy
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1991 Volume 82 Issue 3 Pages 433-438

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Abstract

From October, 1987 to September, 1989, 53 staghorn calculi of 51 patients underwent extracorporeal shock wave lithotripsy (ESWL) monotherapy by using Dornier HM3 lithotriptor. All patients were treated with double J stenting preoperatively. Mean number of shock waves was 6092 and mean number of sessions was 2.1. In 52 out of 53 kidneys (98%), the stones were disintegrated completely. Complete removal of the stone were observed in 29 kidneys (55%) 3 months after the last ESWL treatment. Complications consisted of fever attack (more than 38°C) (26 patients), ileus (2), subcapsular hematoma (2) and gastrointestinal hemorrhage (1). They could be conservatively treated except one case with percutaneous nephrostomy. Supplementary procedures for the stone street were necessary in 23 patients. They consisted of ESWL (16 patients) and transuretheral lithotripsy (7). The indication of this procedure for the treatment of staghorn calculi was also disccussed.

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