title: Treatment of steinstrasse with repeat extracorporeal shock wave lithotripsy: experience with piezoelectric lithotriptor.
abstract: 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.
authors.affiliation: Department of Urology, College of Medicine, Chung-Ang University, Seoul, Korea.
authors.forename: S C
authors.initials: SC
authors.lastname: Kim
authors.forename: C H
authors.initials: CH
authors.lastname: Oh
authors.forename: Y T
authors.initials: YT
authors.lastname: Moon
authors.forename: K D
authors.initials: KD
authors.lastname: Kim
mesh_terms: 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