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- Title
The Efficacy of Extracorporeal Lithotripsy in Patients with Lithiasis on Solitary Kidney.
- Authors
Brad, A.; Tătaru, O. S.; Ghirca, Veronica; Vida, A. O.; Porav, D.; Simion, Carmen; Chibelean, C.; Oşan, V.; Martha, Orsolya
- Abstract
Introduction and Objectives. Extracorporeal shock wave lithotripsy (ESWL), a non-invasive treatment used in the treatment of renal-ureteral lithiasis, was introduced in medical practice in 1980 in Germany. It can be successfully practiced even in case of patients with single kidney lithiasis. Matherials and Methods. We performed a prospective / retrospective study of all patients with lithiasis on a solitary kidney, treated and followed-up in Urology Clinic in Târgu Mureş from 23 July 1991 until 31 December 2015. All single kidney lithiasis patients who met the following criteria were included in the research: functional kidney without stasis and calculus ≤ 20 mm. A total of 203 patients were enrolled in the study. Results. The number of patients assigned by gender is approximately similar: 101 males (49.75%) and 102 (50.25%) females. In terms of age, the mean age was 56.75 +/- 13 years. Most calculi were found in inferior calves (34.49%), pelvic (20.91%) and lumbar ureter (16.72%). There have also been renal units with multiple lithiasis. Some patients required autostatic ureteral stenting or percutaneous nephrostomy prior to ESWL sessions either due to septic conditions or obstructive anuria. In 185 patients (91.13%), total calculus disintegration was obtained after one or more lithotripsy sessions. A total of 173 patients (85.22%) returned to the regular control at 3 months or later, showing a rate of stone free of 86.75%. Conclusions. Although the discussion regarding the optimal treatment modality in renal ureteric lithiasis in case of single kidney is still open and new treatment options are becoming numerous, given good efficacy, low incidence of complications, and high rate of stone-free (86.75 %), we consider ESWL to be the appropriate therapy in these patients if the indication is properly established and is performed by a urologist with extensive experience in this field.
- Subjects
EXTRACORPOREAL shock wave lithotripsy; KIDNEY disease treatments; TREATMENT effectiveness
- Publication
Romanian Journal of Urology, 2017, Vol 16, Issue 4, p16
- ISSN
1223-0650
- Publication type
Article