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Combination therapy in the treatment of patients with staghorn calculi.
Tech Urol. 1999 Sep; 5(3):155-8.TU

Abstract

The treatment of patients with staghorn calculi remains a challenging problem. Combination therapy using percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy has been recommended as the best option for most patients. Using this technique, 10 (83%) of 12 renal units with partial or complete staghorn calculi were rendered stone-free, with no significant septic episodes or serious complications. Blood transfusion was necessary in three patients. "Sandwich" therapy using initial percutaneous debulking followed by extracorporeal shock wave lithotripsy and/or "second-look" nephroscopy offers patients a high likelihood of achieving a stone-free state while avoiding the morbidity and lengthy recovery associated with open surgery.

Authors+Show Affiliations

Department of Surgery, University of Chicago Pritzker School of Medicine, Illinois 60637, USA.

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

10527260

Citation

Gerber, G S.. "Combination Therapy in the Treatment of Patients With Staghorn Calculi." Techniques in Urology, vol. 5, no. 3, 1999, pp. 155-8.
Gerber GS. Combination therapy in the treatment of patients with staghorn calculi. Tech Urol. 1999;5(3):155-8.
Gerber, G. S. (1999). Combination therapy in the treatment of patients with staghorn calculi. Techniques in Urology, 5(3), 155-8.
Gerber GS. Combination Therapy in the Treatment of Patients With Staghorn Calculi. Tech Urol. 1999;5(3):155-8. PubMed PMID: 10527260.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combination therapy in the treatment of patients with staghorn calculi. A1 - Gerber,G S, PY - 1999/10/20/pubmed PY - 1999/10/20/medline PY - 1999/10/20/entrez SP - 155 EP - 8 JF - Techniques in urology JO - Tech Urol VL - 5 IS - 3 N2 - The treatment of patients with staghorn calculi remains a challenging problem. Combination therapy using percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy has been recommended as the best option for most patients. Using this technique, 10 (83%) of 12 renal units with partial or complete staghorn calculi were rendered stone-free, with no significant septic episodes or serious complications. Blood transfusion was necessary in three patients. "Sandwich" therapy using initial percutaneous debulking followed by extracorporeal shock wave lithotripsy and/or "second-look" nephroscopy offers patients a high likelihood of achieving a stone-free state while avoiding the morbidity and lengthy recovery associated with open surgery. SN - 1079-3259 UR - https://www.unboundmedicine.com/medline/citation/10527260/Combination_therapy_in_the_treatment_of_patients_with_staghorn_calculi_ DB - PRIME DP - Unbound Medicine ER -