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Long-term efficacy of combination therapy for struvite staghorn calculi.
J Urol. 1992 Mar; 147(3):563-6.JU

Abstract

A total of 28 patients with extensive struvite staghorn calculi underwent endourological sandwich therapy consisting of primary percutaneous debulking followed by extracorporeal shock wave lithotripsy (ESWL*) of residual stone fragments. Secondary percutaneous procedures, ESWL treatments and 10% hemiacidrin irrigations were used as necessary specifically to achieve a stone-free renal unit. With 12 to 55 months (mean 31 months) of followup, during which time regular surveillance was done and antibiotic prophylaxis was used routinely, renal function remained stable or improved in 93% of the patients, including 4 with a solitary kidney. Infection has recurred or persisted in 30% of the patients, while stones recurred in 22%. We conclude that an aggressive, combined endourological approach to the management of struvite staghorn calculi can achieve long-term results comparable to standard operative intervention.

Authors+Show Affiliations

Department of Urology, Cleveland Clinic Foundation, Ohio.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1538429

Citation

Streem, S B., and G Lammert. "Long-term Efficacy of Combination Therapy for Struvite Staghorn Calculi." The Journal of Urology, vol. 147, no. 3, 1992, pp. 563-6.
Streem SB, Lammert G. Long-term efficacy of combination therapy for struvite staghorn calculi. J Urol. 1992;147(3):563-6.
Streem, S. B., & Lammert, G. (1992). Long-term efficacy of combination therapy for struvite staghorn calculi. The Journal of Urology, 147(3), 563-6.
Streem SB, Lammert G. Long-term Efficacy of Combination Therapy for Struvite Staghorn Calculi. J Urol. 1992;147(3):563-6. PubMed PMID: 1538429.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term efficacy of combination therapy for struvite staghorn calculi. AU - Streem,S B, AU - Lammert,G, PY - 1992/3/1/pubmed PY - 1992/3/1/medline PY - 1992/3/1/entrez SP - 563 EP - 6 JF - The Journal of urology JO - J Urol VL - 147 IS - 3 N2 - A total of 28 patients with extensive struvite staghorn calculi underwent endourological sandwich therapy consisting of primary percutaneous debulking followed by extracorporeal shock wave lithotripsy (ESWL*) of residual stone fragments. Secondary percutaneous procedures, ESWL treatments and 10% hemiacidrin irrigations were used as necessary specifically to achieve a stone-free renal unit. With 12 to 55 months (mean 31 months) of followup, during which time regular surveillance was done and antibiotic prophylaxis was used routinely, renal function remained stable or improved in 93% of the patients, including 4 with a solitary kidney. Infection has recurred or persisted in 30% of the patients, while stones recurred in 22%. We conclude that an aggressive, combined endourological approach to the management of struvite staghorn calculi can achieve long-term results comparable to standard operative intervention. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/1538429/Long_term_efficacy_of_combination_therapy_for_struvite_staghorn_calculi_ L2 - https://www.jurology.com/doi/10.1016/s0022-5347(17)37307-x?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -