PTU - Polskie Towarzystwo Urologiczne
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Treatment of coral pelvic calculi in children by the ESWL method
Article published in Urologia Polska 1991/44/2.

authors

Mieczysław Ołpiński, Andrzej Borówka, Tadeusz Krzeski, Janusz Judycki
Z Katedry i Kliniki Urologii Instytutu Chirurgii AM w Warszawie Kierownik Kliniki: prof. dr hab. med. T. Krzeski Dyrektor Instytutu: prof. dr hab. med. M. Szostek

summary

Using a Lithostar Siemens lithotryptor nine children aged from 22 months to 15 years were treated by the extracorporeal shock wave lithotripsy method (ESWL) for coral renal calculi. In two of them the procedure was carried out bilaterally. All these calculi presented as complete casts of the calyceopelvic system of the kidney. Five coral calculi (45.4%) were crushed and completely excreted. After lithotripsy of 3 calculi (27.3%) it was necessary to remove fragments of the calculi from the ureter or lower calyx. Surgical intervention was necessary after lithotripsy of three calculi (27.3%), two of them could not have been crushed. ESWL with the Lithostar lithotryptor as the only method of treatment of coral calculi in children should not be used in view of the necessity of numerous repetitions of the procedure — on average 3.6 procedures per one kidney, long time of the treatment and the necessity of exposing the children to X-rays during the procedure as well as during Control X-ray examinations.

references

  1. 1. Borówka A., Krzeski T., Judycki J.: Endourologiczne metody leczenia kamicy górnych dróg moczowych. Rozdział w książce: Urologia \\\\\\\'89, Oddział Warszawski Polskiego Tow. Urol., Warszawa, 1990. —
  2. 2. Borówka A., Krzeski T„ Judycki J., Górecki R.: Kruszenie kamieni nerkowych i moczowodowych falami wstrząsowymi wyzwalanymi pozaustrojowo — ESWL. Postępy Nauk Med., 1989, 2, 125. —
  3. 3. Borówka A., Ołpiński M., Judycki J., Hanecki R., Borkowski A., Krzeski T.: ESWL with Lithostar in children. Eur. Urol., 1990, 18, (S 1), 60. —
  4. 4. Charbit L„ Terdj-man S., Gendreau M. C, Guerin D., Quentel P., Cukier J.: Interćt de la lithitriptie extra-corporelle par ondes de choc pour le traitement de la 1\\\\\\\'enfant. J. d\\\\\\\'urol., 1899, 95, 393. —
  5. 5. Constantinides C, Recker F., Jaeger P., Hauri D.: Extracorpo-real shock wave lithotripsy as monotherapy of staghorn renal calculi: 3 years of experience. J. Urol., 1989, 142, 1415. —
  6. 6. Frick J., Kóhle R., Kunit G.: Experiencewith extracorporeal shock lithotripsy in children. Eur. Urol., 1988, 14, 181. —
  7. 7. Kramolovsky E. V., Willoughby B. L., Loening S. A.; Extracorporeal shock wave lithotripsy in children. J. Urol, 1987, 137, 939. —
  8. 8. Kroovand R. L., Harrison L. H., Mc Cullough D. L.: Extracorporeal shock wave lithotripsy in childhood. J. Urol., 1987, 138, 1106. —
  9. 9. Marberger M., Tiirk Ch., Steinkogler L: Piezoclectric extracorporeal shock wave lithotripsy in children. J. Urol., 1989, 142, 349. —
  10. 10. Mininberg D. T., Steckler R., Riehle R. A. Jr.: Extracorporeal shock wave lithotripsy for children. Amer. J. Dis. Child., 1988, 142, 279.
  11. 11. Montgomery B. S. I., Cole R. S., Palfrey E. L. H., Shuttleworth K. E. D.: Does extracorporeal shock wave lithotripsy cause hypertension? Brit. J. Urol., 1988, 64, 567. —
  12. 12. Nijma R. J., Ackaert K., Scholtmeijer R. J., Lock T. W., Schroder F. H.: Long-term results of extracorporeal shock wave lithotripsy in children. J. Urol, 1989, 142, 609. —
  13. 13. Pode D., Verstanding A., Shapiro A.: Treatment of complete staghorn calculi by extracorporeal shock wave lithotripsy monotherapy with special reference to internal stenting. J. Urol., 1988, 140, 260. —
  14. 14. Sandlow J. I., Winfield H. N., Loenong S. A.: Blood pressure changes related to extracorporeal shock wave lithotripsy (ESWL). J. Urol., 1989, 141, 242 A.
  15. 15.Signam M., Laudone V. P., Jenkins A. D., Howard S. S., Riehle R. Jr.,
  16. Keating M. A., Walker D.:Initial experience with extracorporeal shock wave lithotripsy in children. J. Urol., 1987, 138, 839. —
  17. 16. Woodbury P. W., Lingeman
  18. J. E.: Management of staghorn calculi:should be any controversy? J. Urol., 1938, 139, 186 A.

correspondence

lek. med. Mieczysław Ołpiński, Klinika Urologii AM 02-005 Warszawa, ul. Lindleya 4.