title: [The combination of extracorporeal lithotripsy and percutaneous nephrostomy in the treatment of obstructive ureteral urate calculi].
abstract: The authors report their experience with combined percutaneous nephrostomy and extracorporeal shock-wave lithotripsy to treat obstructive uratic ureteral stones. The role of nephrostomy is stressed as a diagnosis and treatment method before, during and after lithotripsy. Thus, the method proved especially useful to drain obstructed kidneys and restore peristalsis, to evacuate septic urine, to facilitate the elimination of lithiasic fragments, to perform anterograde pyelography before, during and after lithotripsy and finally to allow pharmacological litholysis. Fourteen patients were successfully treated with combined extracorporeal lithotripsy and percutaneous nephrostomy and the results compared with those obtained with other techniques--e.g., ureteroscopy, whose value appears lower because the method requires general anesthesia and is more traumatic to the ureter. The authors conclude that combined extracorporeal lithotripsy and percutaneous nephrostomy make the best technique to treat obstructive uric acid stones thanks to their positive results, low invasiveness and to patients compliance.
authors.affiliation: Divisione di Urologia, USSL 56, Lodi, Milano.
authors.forename: C
authors.initials: C
authors.lastname: Del Boca
authors.forename: C
authors.initials: C
authors.lastname: Ferrari
authors.forename: E
authors.initials: E
authors.lastname: Dotti
authors.forename: G
authors.initials: G
authors.lastname: Corsi
authors.forename: A
authors.initials: A
authors.lastname: Guardamagna
authors.forename: A C
authors.initials: AC
authors.lastname: Giuberti
authors.forename: D
authors.initials: D
authors.lastname: Colloi
mesh_terms: D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D011859:Radiography; D014463:Ultrasonography; D014513:Ureter / Q000000981:diagnostic imaging; D014514:Ureteral Calculi / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D014527:Uric Acid
chemical_list: D014527:Uric Acid
vernacular_title: Associazione della litotrissia extracorporea e della nefrostomia percutanea nel trattamento della calcolosi ureterale ostruente uratica.