title: [Ballistic (Lithoclast) and hydro-electric (Riwolith) endo-ureteral lithotripsy. Report of 60 cases].
abstract: 25 hydroelectric endoureteric lithotripsies (Group 1, Riwolith) and 35 ballistic endoureteric lithotripsies (Group 2, Lithoclast) were analysed. 60 stones were treated, including 18 pelvic stones (Group 1 : 10, Group 2 : 8), 39 iliolumbar stones (Group 1 : 14, Group 2 : 25), and 3 stones of the ureteropelvic junction (Group 1 : 1, Group 2 : 2). The mean maximal diameter was 9.9 mm (Group 1 : 8.2, Group 2 : 11). Complementary Dormia extraction was performed in 24 cases (Group 1 : 8, Group 2 : 16), 55 double J stents were implanted (Group 1 : 24, Group 2 : 31) and 23 immediate ECL sessions were performed (Group 1 : 8, Group 2 : 15). Overall, 57 good results were recorded, but 3 complete failures of fragmentation and 2 severe ureteric lesions were attributed to hydroelectric lithotripsy. The Lithoclast, much less traumatic, had a greater stone fragmentation potential, but its efficacy on very mobile stones is limited due to its more intense stone propulsion effect.
authors.affiliation: Service d'Urologie, Hôpital Lapeyronie, Montpellier.
authors.forename: M
authors.initials: M
authors.lastname: Robert
authors.forename: A
authors.initials: A
authors.lastname: Bennani
authors.forename: P
authors.initials: P
authors.lastname: Chevallier
authors.forename: J
authors.initials: J
authors.lastname: Guiter
authors.forename: M
authors.initials: M
authors.lastname: Averous
authors.forename: D
authors.initials: D
authors.lastname: Grasset
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D014514:Ureteral Calculi / Q000628:therapy*
vernacular_title: Lithotritie endo-urétérale balistique (Lithoclast) et hydro-électrique (Riwolith). A propos de 60 cas.