Extracorporeal shock wave lithotripsy for lower pole calculi: Our experience

Introduction: This study was performed in order to evaluate the immediate and long‐term outcome of patients undergoing extracorporeal shock wave lithotripsy (ESWL) for isolated lower pole calculi. Methods: Three hundred and seventy renal units of 350 patients (240 men and 110 women; mean age 55 year...

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Published in:International journal of urology 1999-07, Vol.6 (7), p.337-340
Main Authors: Deliveliotis, Charalambos, Skolarikos, Andreas, Louras, Georgios, Kostakopoulos, Athanasios, Karagiotis, Evangelos, Tekerlekis, Panagiotis
Format: Article
Language:English
Subjects:
extracorporeal shock wave lithotripsy
Female
Follow-Up Studies
Humans
Kidney Calculi - diagnosis
Kidney Calculi - therapy
Lithotripsy
lower pole calculi
Male
Middle Aged
Treatment Outcome
Ureteroscopy
Urography
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cited_by cdi_FETCH-LOGICAL-c4802-70519fa2261ed1d0175b59919d0afb085b05e1f84211e3f5ec60a9743c05df383
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container_end_page 340
container_issue 7
container_start_page 337
container_title International journal of urology
container_volume 6
creator Deliveliotis, Charalambos
Skolarikos, Andreas
Louras, Georgios
Kostakopoulos, Athanasios
Karagiotis, Evangelos
Tekerlekis, Panagiotis
description Introduction: This study was performed in order to evaluate the immediate and long‐term outcome of patients undergoing extracorporeal shock wave lithotripsy (ESWL) for isolated lower pole calculi. Methods: Three hundred and seventy renal units of 350 patients (240 men and 110 women; mean age 55 years) with isolated lower pole renal stones of smaller than 2 cm2 were studied. Follow up ranged from 1 to 52 months (mean, 15 months) to time of censorship, significant period of secondary urologic evaluation. Results: Out of 370 renal units in 350 patients, 212 (57,29%) were stone‐free 1 month after ESWL and 21 (5.67%) spontaneously became stone‐free within another 1–52 months (mean, 15 months). Intervention was required after 1–52 months (mean, 17.5 months) and accomplished by ESWL alone (30/350 patients 8.57%) or combined with retrograde endoscopy (10/350 patients 2.85%) while retrograde manipulation was necessary in two of the 350 patients (0.57%). Conclusion: Extracorporeal shock wave lithotripsy is the initial treatment of choice in patients with lower pole stones < 2 cm2, because the overall stone‐free rate is acceptable and because even in the residual calculi, the risk of suffering symptomatic episodes requiring secondary intervention is low.
doi_str_mv 10.1046/j.1442-2042.1999.00072.x
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subjects extracorporeal shock wave lithotripsy
Female
Follow-Up Studies
Humans
Kidney Calculi - diagnosis
Kidney Calculi - therapy
Lithotripsy
lower pole calculi
Male
Middle Aged
Treatment Outcome
Ureteroscopy
Urography
title Extracorporeal shock wave lithotripsy for lower pole calculi: Our experience
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