title: Treatment of renal uric acid stone by extracorporeal shock wave lithotripsy combined with sodium bicarbonate: 2 case reports.
abstract: Uric acid stone is the most comment radiolucent renal stone with high recurrence rate, which would further cause acute upper urinary tract obstruction and kidney failure. Here we report two cases of renal uric acid stone from December 2012 to April 2013. One 43-year-old male patient suffered from chronic uric acid nephrolithiasis caused by the long-term indwelling of bilateral double-J stent. Another 69-year-old patient was also diagnosed with uric acid nephrolithiasis at the right kidney. Both patients were first treated with extracorporeal shock wave lithotripsy (ESWL), followed by 1.5% sodium bicarbonate dissolution therapy. After a week of the treatment, the uric acid stones in both patients were completely dissolved without retrograde infection. In summary, the use of ESWL and sodium bicarbonate dissolution therapy as a combined modality is a safe, effective, inexpensive treatment for uric acid nephrolithiasis.
authors.affiliation: Department of Urology, The Affiliated Hospital of Hainan Medical College Hailou 570120, P. R. China ; Department of Urology, Renmin Hospital of Wuhan University Wuhan, Hubei 430060, P. R. China.
authors.forename: Hao-Yong
authors.initials: HY
authors.lastname: Li
authors.affiliation: Department of Urology, The Affiliated Hospital of Hainan Medical College Hailou 570120, P. R. China.
authors.forename: Pei-Yu
authors.initials: PY
authors.lastname: Lian
authors.affiliation: Department of Urology, The Affiliated Hospital of Hainan Medical College Hailou 570120, P. R. China.
authors.forename: Zhi-Yan
authors.initials: ZY
authors.lastname: Zhou
authors.affiliation: Department of Urology, The Affiliated Hospital of Hainan Medical College Hailou 570120, P. R. China.
authors.forename: Peng
authors.initials: P
authors.lastname: Song
authors.affiliation: Department of Urology, The Affiliated Hospital of Hainan Medical College Hailou 570120, P. R. China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Yan
authors.affiliation: Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan, Hubei 430030, P. R. China.
authors.forename: Ji-Hong
authors.initials: JH
authors.lastname: Liu
keywords: Renal acid stone; extracorporeal shock wave lithotripsy; sodium bicarbonate; uric acid nephrolithiasis