title: Solitary kidney stone treatment by extracorporeal shock wave lithotripsy.
abstract: OBJECTIVE
  To determine if solitary kidney stones can be successfully treated with ESWL.
  
  
  METHODS
  38 patients were examined, 34 stones were treated on a Dornier lithotripter HM-3, and 4 on a Siemens Lithostar. 17 stones were larger than 400 mm2, 11 were incomplete and 6 complete staghorn calculi. In 26 patients a catheter was placed before lithotripsy, double-J and ureteral stents in 14 and 12, respectively.
  
  
  RESULTS
  Successful outcome of lithotripsy was achieved in 34 patients (89%). Complete fragment elimination was recorded in 23 patients (60%), and in 11 (29%) a negligible residuum was noticed. Treatment failure was recorded in 4 patients. In 3 patients fragment elimination was poor, and in 1 patient 3 ESWL sessions were not sufficient to commence stone destruction and we decided to operate on this patient. Anuria occurred in 4 patients (10%).
  
  
  CONCLUSIONS
  Our results suggest that ESWL can be successfully used in the treatment of urolithiasis in a solitary kidney. Even in cases of staghorn stones, the obligatory placement of a double-J catheter, and strategic lithotripsy in several sessions result in a high success rate with a tolerable risk of complications.
authors.affiliation: Clinic of Urology, University Clinical Center, Belgrade, Yugoslavia.
authors.forename: A
authors.initials: A
authors.lastname: Vuksanovic
authors.forename: S
authors.initials: S
authors.lastname: Micic
authors.forename: V
authors.initials: V
authors.lastname: Petronic
authors.forename: N
authors.initials: N
authors.lastname: Bojanic
mesh_terms: D001002:Anuria / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000150:complications / Q000628:therapy*; D008096:Lithotripsy; D008297:Male; D012307:Risk Factors; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000150:complications / Q000628:therapy; D014567:Urography