[Current therapy of ureteral calculus].
Since lithotripsy requiring no anesthesia recently became available, the discussion revolving around the treatment of choice for ureteral calculi has been renewed: is a preliminary retrograde manipulation still preferable for proximal calculi? Is ureteroscopy the better treatment for stones in the lower ureter? The retrospective evaluation of our patients with ureteral calculi (January to August 1988) failed to reveal a compromised efficiency with the modified HM3 Lithotripter (40 nF generator, 17 cm ellipsoid): 70% (including 11% with repeated sessions) of patients with proximal stones and 90% (including 28% with repeated sessions) of patients with distal calculi were successfully treated by in situ ESWL with no need for anesthesia, auxiliary measures, or ureteroscopy. These results do not significantly differ from those obtained with the old HM3, and they confirm that the majority of patients with ureteral calculi can bypass the discomfort of retrograde manipulation and the risks of ureteroscopy.
Miller
K
K
Urologische Klinik, Universität Ulm.
Bachor
R
R
Sauter
T
T
Hautmann
R
R
D003131:Combined Modality Therapy; D004724:Endoscopy; D006801:Humans; D008096:Lithotripsy; D014514:Ureteral Calculi / Q000628:therapy*
Aktuelle Therapie des Harnleitersteins.