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[Treatment of staghorn calculi by extracorporeal shock wave lithotripsy monotherapy].
Hinyokika Kiyo. 1993 Nov; 39(11):1093-5.HK

Abstract

We evaluated retrospectively 107 patients with staghorn calculi who underwent extracorporeal shock wave lithotripsy (ESWL) monotherapy from 1985 to 1990. The 107 patients consisted of 65 complete staghorn calculi and 55 partial staghorn calculi. Staghorn calculi required an average of 4.3 treatment sessions. Using a Dornier HM3 lithotriptor, the stone-free rate was 33% in patients with complete staghorn calculi, and 35% in patients with partial calculi. For stone evacuation following ESWL procedure, ureteral stenting, nephrostomy and transurethral lithotripsy were necessary. Four of the 21 patients who underwent ESWL monotherapy and were available for long-term followup showed stone growth, while all of the 10 patients who underwent open surgery during the previous 5 years became stone free. The average period of hospitalization and cost were 38.3 days and 700,000 yen in patients who had received open surgery, and 25.8 and 1,720,000 yen in patients receiving ESWL monotherapy. In conclusion, ESWL monotherapy is useful, and if patients require complete removal of all stone fragments, a percutaneous lithotripsy should be performed following ESWL monotherapy.

Authors+Show Affiliations

Department of Urology, Osaka City University Medical School.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

8266884

Citation

Yasumoto, R, et al. "[Treatment of Staghorn Calculi By Extracorporeal Shock Wave Lithotripsy Monotherapy]." Hinyokika Kiyo. Acta Urologica Japonica, vol. 39, no. 11, 1993, pp. 1093-5.
Yasumoto R, Sakakura T, Yamamoto K, et al. [Treatment of staghorn calculi by extracorporeal shock wave lithotripsy monotherapy]. Hinyokika Kiyo. 1993;39(11):1093-5.
Yasumoto, R., Sakakura, T., Yamamoto, K., Sugimoto, T., Wada, S., & Kishimoto, T. (1993). [Treatment of staghorn calculi by extracorporeal shock wave lithotripsy monotherapy]. Hinyokika Kiyo. Acta Urologica Japonica, 39(11), 1093-5.
Yasumoto R, et al. [Treatment of Staghorn Calculi By Extracorporeal Shock Wave Lithotripsy Monotherapy]. Hinyokika Kiyo. 1993;39(11):1093-5. PubMed PMID: 8266884.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Treatment of staghorn calculi by extracorporeal shock wave lithotripsy monotherapy]. AU - Yasumoto,R, AU - Sakakura,T, AU - Yamamoto,K, AU - Sugimoto,T, AU - Wada,S, AU - Kishimoto,T, PY - 1993/11/1/pubmed PY - 1993/11/1/medline PY - 1993/11/1/entrez SP - 1093 EP - 5 JF - Hinyokika kiyo. Acta urologica Japonica JO - Hinyokika Kiyo VL - 39 IS - 11 N2 - We evaluated retrospectively 107 patients with staghorn calculi who underwent extracorporeal shock wave lithotripsy (ESWL) monotherapy from 1985 to 1990. The 107 patients consisted of 65 complete staghorn calculi and 55 partial staghorn calculi. Staghorn calculi required an average of 4.3 treatment sessions. Using a Dornier HM3 lithotriptor, the stone-free rate was 33% in patients with complete staghorn calculi, and 35% in patients with partial calculi. For stone evacuation following ESWL procedure, ureteral stenting, nephrostomy and transurethral lithotripsy were necessary. Four of the 21 patients who underwent ESWL monotherapy and were available for long-term followup showed stone growth, while all of the 10 patients who underwent open surgery during the previous 5 years became stone free. The average period of hospitalization and cost were 38.3 days and 700,000 yen in patients who had received open surgery, and 25.8 and 1,720,000 yen in patients receiving ESWL monotherapy. In conclusion, ESWL monotherapy is useful, and if patients require complete removal of all stone fragments, a percutaneous lithotripsy should be performed following ESWL monotherapy. SN - 0018-1994 UR - https://www.unboundmedicine.com/medline/citation/8266884/[Treatment_of_staghorn_calculi_by_extracorporeal_shock_wave_lithotripsy_monotherapy]_ L2 - https://repository.kulib.kyoto-u.ac.jp/dspace/handle/2433/117967 DB - PRIME DP - Unbound Medicine ER -