Management of simultaneous renal and ureteral calculi: combined extracorporeal shock wave lithotripsy and ureteroscopy under a single anesthetic.
Simultaneously occurring renal and ureteral calculi were treated in 28 renal units combining extracorporeal shock wave lithotripsy and ureteroscopy during a single anesthetic session. Distributions of ureteral calculi removed or attempted to be removed by ureteroscopy were upper third in 3, middle third in 4 and lower third in 21. If ureteroscopy was successful a ureteral stent was placed and extracorporeal shock wave lithotripsy was applied to more proximal renal and upper ureteral calculi. Of 28 renal units 25 (89%) were rendered free of stones or had passable calculi of less than 3 mm. in diameter after a single combined treatment. This combined approach appears to be safe, effective and efficient.
Jarowenko
M V
MV
Division of Urology, Milton S. Hershey Medical Center, Pennsylvania State University, Hershey.
Belis
J A
JA
Rohner
T J
TJ
D000758:Anesthesia / Q000379:methods*; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D014513:Ureter; D014514:Ureteral Calculi / Q000150:complications / Q000175:diagnosis / Q000628:therapy*