title: Percutaneous Stone Manipulation.
abstract: Percutaneous stone manipulation by direct ultrasound disintegration, extraction or chemolysis was done on 34 patients. A total of 15 patients presented with an operatively established nephrostomy, while percutaneous nephrostomy and subsequent dilation of the nephrostomy channel were done in 19. The rate of complete stone clearance was 19 of 20 stones after percutaneous nephrostomy and 8 of 16 stones in the group with an operatively established nephrostomy. The primary goal, to remove obstructing pelvic stones, was achieved in all cases. There were no untoward side effects, such as back pressure damage owing to flushing of the collecting system during ultrasound disintegration, or persistent infection. Complications in 3 patients were managed conservatively.
authors.affiliation: Departments of Urology and Radiology, University of Mainz Medical School, Mainz, West Germany.
authors.forename: P
authors.initials: P
authors.lastname: Alken
authors.affiliation: Departments of Urology and Radiology, University of Mainz Medical School, Mainz, West Germany.
authors.forename: G
authors.initials: G
authors.lastname: Hutschenreiter
authors.affiliation: Departments of Urology and Radiology, University of Mainz Medical School, Mainz, West Germany.
authors.forename: R
authors.initials: R
authors.lastname: Günther
authors.affiliation: Departments of Urology and Radiology, University of Mainz Medical School, Mainz, West Germany.
authors.forename: M
authors.initials: M
authors.lastname: Marberger
mesh_terms: D002951:Citrates / Q000008:administration & dosage; D004106:Dilatation; D006801:Humans; D007669:Kidney Calculi / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D009403:Nephrostomy, Percutaneous; D017693:Sodium Bicarbonate / Q000008:administration & dosage; D012997:Solvents / Q000008:administration & dosage*; D014464:Ultrasonic Therapy
chemical_list: D002951:Citrates; D012997:Solvents; C026485:hemiacidrin; D017693:Sodium Bicarbonate