Outcome and Safety of Extracorporeal Shock Wave Lithotripsy as First-Line Therapy of Lower Pole Nephrolithiasis
| Autor: | Ildiko Riedler, Peter Hebel, G. Hubmer, Harald Trummer |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Urology medicine.medical_treatment Lithotripsy Kidney Calculi First line therapy medicine Humans Initial therapy Aged Aged 80 and over Kidney business.industry Lower pole Middle Aged medicine.disease Extracorporeal shock wave lithotripsy Surgery medicine.anatomical_structure Female Kidney stones Safety business Follow-Up Studies Kidney disease |
| Zdroj: | Urologia Internationalis. 71:350-354 |
| ISSN: | 1423-0399 0042-1138 |
| Popis: | Introduction: The aim of this study is to assess the efficiency of extracorporeal shock wave lithotripsy (ESWL) as initial therapy for isolated lower pole kidney stones smaller than 20 mm. Patients and Methods: During a 24-month period 116 patients with previously untreated single stones under 20 mm in diameter were treated with a Dornier lithotripter S. They were analyzed with regard to stone site and size, number of ESWL sessions, auxiliary measures, retreatment rates, complications and the time taken for stone clearance. Results: 76 patients (65.5%) became stone free, 50 of them (43.1%) within 3 months after ESWL. Depending on stone size the stone-free rates were 67.1% for patients with a stone diameter of Conclusions: ESWL is a safe and efficient first-line therapy for treatment of isolated small lower pole kidney stones with acceptable stone-free rates, low morbidity, few complications and a low stone recurrence rate. |
| Databáze: | OpenAIRE |
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