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[Recurrence of lithiasis after extracorporeal lithotripsy, percutaneous surgery, and open surgery for calculi of the upper urinary tract].
Prog Urol. 1992 Jun; 2(3):396-401.PU

Abstract

The safety and short-term effectiveness of percutaneous nephrolithotomy (PCNL) and extracorporeal shock wave lithotripsy (ESWL) have already been well established. However, long-term follow-up studies are essential to prove that the recurrence rate after PCNL and/or ESWL is equal or even better than that of surgery. We reviewed 57 patients treated with ESWL monotherapy, 45 patients treated by PCNL (or by PCNL combined with ESWL for complete staghorn stones) and 59 patients treated by open surgery who all had at least three years of follow-up. The overall recurrence rate for ESWL was 37% for PCNL and for open surgery 39%. ESWL, PCNL and open surgery all showed a higher rate of recurrence and persistent bacteriuria when associated with residual stones. Therefore every effort should be made to remove residual fragments following stone treatment. We conclude that because of its efficacy and low morbidity ESWL should be the treatment of choice for most of renal calculi. Complete staghorn calculi are best treated with open surgery because the complete elimination of all calculous material and the eradication of infection are achieved at a higher rate than by PCNL and ESWL.

Authors+Show Affiliations

Instituto di Urologia di Milano, Ospedale Maggiore di Milano, Italie.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

1302077

Citation

Trinchieri, A, et al. "[Recurrence of Lithiasis After Extracorporeal Lithotripsy, Percutaneous Surgery, and Open Surgery for Calculi of the Upper Urinary Tract]." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, vol. 2, no. 3, 1992, pp. 396-401.
Trinchieri A, Mandressi A, Zanetti G, et al. [Recurrence of lithiasis after extracorporeal lithotripsy, percutaneous surgery, and open surgery for calculi of the upper urinary tract]. Prog Urol. 1992;2(3):396-401.
Trinchieri, A., Mandressi, A., Zanetti, G., Montanari, E., Dormia, G., Luongo, P., & Rovera, F. (1992). [Recurrence of lithiasis after extracorporeal lithotripsy, percutaneous surgery, and open surgery for calculi of the upper urinary tract]. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 2(3), 396-401.
Trinchieri A, et al. [Recurrence of Lithiasis After Extracorporeal Lithotripsy, Percutaneous Surgery, and Open Surgery for Calculi of the Upper Urinary Tract]. Prog Urol. 1992;2(3):396-401. PubMed PMID: 1302077.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Recurrence of lithiasis after extracorporeal lithotripsy, percutaneous surgery, and open surgery for calculi of the upper urinary tract]. AU - Trinchieri,A, AU - Mandressi,A, AU - Zanetti,G, AU - Montanari,E, AU - Dormia,G, AU - Luongo,P, AU - Rovera,F, PY - 1992/6/1/pubmed PY - 1992/6/1/medline PY - 1992/6/1/entrez SP - 396 EP - 401 JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog Urol VL - 2 IS - 3 N2 - The safety and short-term effectiveness of percutaneous nephrolithotomy (PCNL) and extracorporeal shock wave lithotripsy (ESWL) have already been well established. However, long-term follow-up studies are essential to prove that the recurrence rate after PCNL and/or ESWL is equal or even better than that of surgery. We reviewed 57 patients treated with ESWL monotherapy, 45 patients treated by PCNL (or by PCNL combined with ESWL for complete staghorn stones) and 59 patients treated by open surgery who all had at least three years of follow-up. The overall recurrence rate for ESWL was 37% for PCNL and for open surgery 39%. ESWL, PCNL and open surgery all showed a higher rate of recurrence and persistent bacteriuria when associated with residual stones. Therefore every effort should be made to remove residual fragments following stone treatment. We conclude that because of its efficacy and low morbidity ESWL should be the treatment of choice for most of renal calculi. Complete staghorn calculi are best treated with open surgery because the complete elimination of all calculous material and the eradication of infection are achieved at a higher rate than by PCNL and ESWL. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/1302077/[Recurrence_of_lithiasis_after_extracorporeal_lithotripsy_percutaneous_surgery_and_open_surgery_for_calculi_of_the_upper_urinary_tract]_ DB - PRIME DP - Unbound Medicine ER -