REASONS OF FAILURE IN THE ESWL TREATMENT
FOR STAGHORN CALCULI
UNDER DUBLE J STENT PROTECTION
Article published in Urologia Polska 1997/50/3.
authors
-
Tomasz Demkow, Philip Clark, Andrzej Borkowski
- Klinika Nowotworów Układu Moczowego Instytutu Onkologii w Warszawie
Kierownik Kliniki: prof. dr hab med. G. Madej
Oddział Urologii The General Infirmary, Leeds (Anglia)
Konsultant Urolog: Ph. Clark FRCS
keywords
-
kidney staghorn calculi treatment ESWL
summary
- Introduction. The treatment of the kidney staghorn calculi excent of new
- surgical technics, remains controversial ESWL with addition of double J stent
- is one these technics.
- Objective, material and methods. The influence on results of ESWL
- treatment of: stone size, recurrent nature of calculi, stone composition, dilatation
- of upper urinary tract and stone location in the pelvico-calyceal system have
- been estimated.
- From 1988 to 1991 58 patients with partial and complete staghorn calculi
- were treated by Wolf Piezolith 2300 lithotriptor at Yorkshire Lithotriptor Center
- in Leeds.
- Results. Stone free rate in the group with recurrent staghorn calculi was
- 57,9% and with primary calculi 85,4% and in the group with dilatated upper
- urinar tract was 62,5% and non-dilatated group 86,1%. Urinary tract infection
- decreased stone free rate, in the group with infection stone free rate was 74,5%
- and in the group with no infection 88,9%. The most fre±uent localization of
- the remnant stones was the lower pole of the kidney.
- Conclusions. Dilatation of the pelvico-calyceal system, recurrent nature of
- calculi, infection of urinary tract, stone location in calyces were bad prognostic
- factors.
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