Extracorporeal shock-wave lithotripsy for stones in solitary kidney.
Twelve extracorporeal shock-wave lithotripsy (ESWL) treatments were performed on 10 patients with a solitary kidney. Nine patients had a ureteral stent placed pretreatment. Nine patients were available for follow-up. Seven (78%) were stone free or had insignificant fragments at three months. Complications were seen in 4 patients, including two instances of pyelonephritis. Failures were associated with an increased stone burden. ESWL is an effective and safe treatment for upper urinary tract stones in patients with a solitary kidney. We recommend pretreatment stenting in patients with a solitary kidney.
Cohen
E S
ES
San Diego Kidney Stone Treatment Center, University of California.
Schmidt
J D
JD
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D007669:Kidney Calculi / Q000000981:diagnostic imaging / Q000628:therapy*; D007902:Length of Stay; D008096:Lithotripsy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011704:Pyelonephritis / Q000209:etiology; D011859:Radiography; D012008:Recurrence; D014524:Urethral Obstruction / Q000209:etiology; D014552:Urinary Tract Infections / Q000209:etiology