Treatment of ureteral calculi by extracorporeal shock-wave lithotripsy. UCLA experience.
One hundred sixteen patients underwent extracorporeal shock-wave lithotripsy (ESWL) for ureteral stones. In 108 patients, the stones were manipulated pre-ESWL whereas 8 patients underwent ESWL without prior stone manipulation. Ureteral lubrication using a 2% Xylocaine jelly solution greatly facilitated the retrograde advancement of the calculus or the passage of ureteral catheters alongside the stone. ESWL disintegrated all but 4 stones for an overall success rate of 96.6 per cent. It is considered that the combination of retrograde ureteral stone repositioning and ESWL is a highly successful alternative in the management of ureteral calculi.
Lupu
A N
AN
UCLA Stone Center, Division of Urology, UCLA Medical School.
Fuchs
G J
GJ
Chaussy
C G
CG
D000328:Adult; D000368:Aged; D002140:California; D005069:Evaluation Studies as Topic; D006785:Hospitals, University; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation / Q000379:methods; D008875:Middle Aged; D011859:Radiography; D014513:Ureter / Q000000981:diagnostic imaging; D014514:Ureteral Calculi / Q000000981:diagnostic imaging / Q000628:therapy*; D014546:Urinary Catheterization / Q000295:instrumentation / Q000379:methods