title: [Treatment of calculi of the lumbar ureter. Apropos of a series of 118 patients].
abstract: 118 patients suffering from a calculus in the lumbar ureter were treated from January, 1987 to January, 1990. The treatment of 91 patients combined an initial internal ureteral drainage, followed by extracorporeal lithotrity (ECL): 40 calculi were driven back into the kidney and 51 were treated within the ureter. 69 patients (76%) no longer have any calculus; 17 (19%) retain residual fragments smaller than or equal to 3 mm in the lower calyces. We therefore count 5 failures, including 3 in which a second-intention surgical ureterotomy was performed. The ascent of the probe failed in 9 cases at the beginning of the series (6 ureterotomies and 3 percutaneous nephrostomies + ECL). 11 patients were treated with probeless in situ ECL. The others were treated with ureteroscopy (4), percutaneous nephrostomy + ECL (1) and nephrectomy (2). There is not one single treatment for the calculi of the lumbar ureter, and they require associating several therapeutic procedures.
authors.affiliation: Clinique Urologique, Hôpital Cochin, Paris.
authors.forename: P R
authors.initials: PR
authors.lastname: Martinache
authors.forename: M
authors.initials: M
authors.lastname: Zerbib
authors.forename: C
authors.initials: C
authors.lastname: Peyret
authors.forename: T
authors.initials: T
authors.lastname: Flam
authors.forename: M
authors.initials: M
authors.lastname: Géraud
authors.forename: N
authors.initials: N
authors.lastname: Thiounn
authors.forename: A
authors.initials: A
authors.lastname: Steg
authors.forename: B
authors.initials: B
authors.lastname: Debré
mesh_terms: D004322:Drainage; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D014514:Ureteral Calculi / Q000628:therapy*