Clinical study of extracorporeal shock wave lithotripsy for 1000 patients with renal and ureteral stones
Eto, H.; Harada, M.; Okuda, Y.; Maeda, H.; Fujisawa, M.; Fujii, A.; Ka, S.; Hamaguchi, T.; Gohji, K.; Kamidono, S.
Hinyokika Kiyo. Acta Urologica Japonica 36(8): 887-891
1990
ISSN/ISBN: 0018-1994 PMID: 2239589 Document Number: 347793
Using a Dornier HM3 lithotripter, we treated 1,000 patients with renal and ureteral stones from April, 1986 to July, 1989. They consisted of 612 solitary stones (pelvic stones, 152; calyceal stones; 167; ureteral stones, 293). 265 multiple stones and 123 staghorn calculi (complete, 48; partial, 75). The overall rate of the auxillary procedure was 59.3% (pre-operative, 47.9%; post-operative, 11.4%). Pre-operative procedure included 430 catheterizations, 26 percutaneous nephrostomies (PNSs) and 23 pyelographies. Post-operative procedure included 69 transurethral lithotripsies, 21 PNS, 26 percutaneous nephrolithotripsies (PNLs), 6 meatotomies, 5 chemolyses and 1 open surgery. 484 (68.3%) in 709 good follow-up cases were stone-free at the time of 3 months since the first extracorporeal shock-wave lithotripsy (ESWL). Complications were pain (34.8%), fever (4.3%), pain and fever (8.5%), subcapsular hematoma (0.1%) and ureteral obstruction (0.1%). Thus, ESWL is considered to be a useful means for renal and ureteral stones and in the case of large stone the combination therapy with PNL is more effective than ESWL-monotherapy.