Prophylactic role of extracorporeal shock wave lithotripsy in the management of nephrocalcinosis.
Electromagnetic extracorporeal shock wave lithotripsy (ESWL) was performed with a standard Siemens Lithostar on parenchymal calcifications in 10 medullary sponge kidneys in order to evaluate the eventual benefit of preventive lithotripsy. The results of shock wave lithotripsy on precaliceal calcifications were disappointing and have been related to the lack of expansion during shock wave interaction and to the impaired drainage of particles. Three patients also had large impacted ureteric stones and in such cases ESWL remains the treatment of choice.
Department of Urology, University Hospital St Pieter, Leuven, Belgium.
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Vandeursen
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Baert
D000328:Adult; D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology; D007669:Kidney Calculi / Q000628:therapy; D008096:Lithotripsy; D008297:Male; D007691:Medullary Sponge Kidney / Q000150:complications* / Q000473:pathology / Q000628:therapy; D008875:Middle Aged; D009397:Nephrocalcinosis / Q000473:pathology / Q000517:prevention & control*; D014514:Ureteral Calculi / Q000628:therapy