Treatment of painful caliceal stones.
Nonmobile caliceal stones cause pain more often than previously appreciated. The character and intensity of the pain differs from typical renal colic. Twenty-six patients with caliceal stones and pain underwent attempted treatment for pain control via stone removal or disintegration: 15 were treated with percutaneous stone extraction (PSE), 10 with extracorporeal shock-wave lithotripsy (ESWL), and 1 required open surgery after failing PSE. One patient had persistent pain after ESWL and subsequently underwent PSE; 25 of 26 patients had complete relief of pain. Morbidity was minimal. Patients with painful caliceal stones should be offered ESWL, followed by PSE if pain persists.
Coury
T A
TA
Methodist Hospital of Indiana Institute for Kidney Stone Disease, Department of Medical Research, Indianapolis.
Sonda
L P
LP
Lingeman
J E
JE
Kahnoski
R J
RJ
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007669:Kidney Calculi / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D007670:Kidney Calices / Q000601:surgery; D007682:Kidney Pelvis / Q000601:surgery; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D010146:Pain / Q000503:physiopathology; D059408:Pain Management; D012189:Retrospective Studies