Treatment of steinstrasse with repeat extracorporeal shock wave lithotripsy: experience with piezoelectric lithotriptor.
Among 958 patients with renal stones who underwent extracorporeal shock wave lithotripsy (ESWL) monotherapy using an EDAP-LT01 piezoelectric lithotriptor steinstrasse developed in 55 (5.7%). Of these 55 cases stone fragments passed spontaneously in 35 (63.6%) and were treated successfully (no residual stone fragment in ureter) with repeat ESWL in 18 (32.8%). Only 2 patients (3.6%) required ureteroscopic management or open ureterolithotomy. Therefore, repeat ESWL is considered a good initial method to treat complicated steinstrasse.
Kim
S C
SC
Department of Urology, College of Medicine, Chung-Ang University, Seoul, Korea.
Oh
C H
CH
Moon
Y T
YT
Kim
K D
KD
D006801:Humans; D015994:Incidence; D007669:Kidney Calculi / Q000628:therapy*; D008096:Lithotripsy / Q000295:instrumentation*; D014514:Ureteral Calculi / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D014517:Ureteral Obstruction / Q000209:etiology