[Extracorporeal lithotripsy in sequelae of neurologic lesions].
We report on the results of shock wave extracorporeal lithotripsy in a series of 13 patients with urinary lithiasis and neurologic disease (5 tetraplegics, 6 paraplegics and 2 hemiplegics). Anesthesia, positioning and complementary endourologic procedures in a group of patients in whom many factors contribute to lithogenesis are discussed. Sixteen renal units were treated with good stone fragmentation in all cases. Seventy-five percent of the patients remained stone-free three months later. Complications were few (15%) and minor (mainly post-operative fever) and the hospital stay was short (average 5 days). We advocate this technique as the treatment of choice of urolithiasis in patients with neurologic sequelae because of its safety, relative noninvasiveness and good results, especially in calculi smaller than 2 cm.
Bethencourt
O
O
López
J A
JA
Recarte
J A
JA
Haro
F
F
Marín
M
M
García
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006429:Hemiplegia / Q000150:complications; D006801:Humans; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000150:complications*; D010264:Paraplegia / Q000150:complications; D011782:Quadriplegia / Q000150:complications; D014545:Urinary Calculi / Q000150:complications / Q000628:therapy*
Litotricia extracorpórea en secuelas de lesiones neurológicas.