[Piezo-electric extracorporeal lithotripsy of non-coralliform kidney calculi with a maximal measurement of greater than or equal to 25 mm. Apropos of 25 cases].
From June 1991 to April 1993, 25 non-staghorn renal stones with a maximal diameter greater than or equal to 25 mm were treated by piezoelectric extracorporeal lithotripsy (EDAP LT 01). The complete success rate was 56% after 1 (16%), 2 (12%), 3 (16%) or 4 sessions (12%). 14 double J ureteric stents were implanted (56% of cases) and 4 complications were observed (2 cases of acute pyelonephritis and 2 cases of ureteric silting). These results were inferior to those obtained with percutaneous surgery, but help to define the potential indications of extracorporeal shock-wave lithotripsy. This treatment modality can therefore be applied to large friable weddellite or even struvite stones, particularly when the anatomical conditions are unfavourable for percutaneous surgery.
Robert
M
M
Service d'Urologie, Hôpital Lapeyronie, Montpellier.
Villéna
P
P
Guiter
J
J
Avérous
M
M
Grasset
D
D
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002129:Calcium Oxalate / Q000032:analysis; D002130:Calcium Phosphates / Q000032:analysis; D004322:Drainage; D004724:Endoscopy; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000737:chemistry / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000209:etiology; D011859:Radiography; D015607:Stents; D014513:Ureter
D002130:Calcium Phosphates; D002129:Calcium Oxalate
Lithotripsie extra-corporelle piézo-électrique des calculs rénaux non coralliformes de mensuration maximale supérieure ou égale à 25 mm. A propos de 25 observations.