title: [Transcutaneous nephrolithotripsy in presenile and senile patients].
abstract: A total of 323 transcutaneous roentgenoendoscopic operations were made in 212 patients from January 2000 to December 2009 including 96 operations in 81 presenile and senile patients (87 and 9 operations, respectively). Transcutaneous nephrolithotripsy (TCNT) eliminated concrement from the kidney for one session in 59 (72.8%) patients. It proved to be the most sparing treatment in serious clinical situations and provided maximally complete evacuation of the concrement from the kidney. A total complication rate was 14.8%. All the complications were cured with conservative pharmacotherapy. TCNT has the same indications as open surgery, is a method of choice in presenile and senile patients with large, stag-horn and recurrent concrements of the kidney, impacted pelvicoureteral concrements, in impaired renal urodynamics and high bacteriuria. TCNT can be used as a second-line treatment in failure of extracorporeal shock-wave lithotripsy or in combination with it (sandwich-therapy) for complete concrement elimination.
authors.forename: M F
authors.initials: MF
authors.lastname: Trapeznikova
authors.forename: V V
authors.initials: VV
authors.lastname: Dutov
authors.forename: S B
authors.initials: SB
authors.lastname: Urenkov
authors.forename: A A
authors.initials: AA
authors.lastname: Rumiantsev
authors.forename: A E
authors.initials: AE
authors.lastname: Ivanov
authors.forename: A A
authors.initials: AA
authors.lastname: Podoĭnitsyn
authors.forename: E V
authors.initials: EV
authors.lastname: Rusanova
authors.forename: D M
authors.initials: DM
authors.lastname: Popov
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D053040:Nephrolithiasis / Q000628:therapy* / Q000652:urine; D009403:Nephrostomy, Percutaneous; D012189:Retrospective Studies