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Current concepts in the relative efficacy of percutaneous nephrostolithotomy and extracorporeal shock wave lithotripsy

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Summary

Extracorporeal shock wave lithotripsy (ESWL) and percutaneous nephrostolithotomy (PCNL) have largely replaced open surgical operations for the management of upper urinary tract calculi. ESWL is generally preferred for calculi less than or equal to 2 cm as morbidity is lower than PCNL and success rates comparable. However, the morbidity of ESWL rises substantially for stones greater than 2 cm, while the stone-free rate is lessened compared to PCNL (41% vs. 82%, p<0.01), suggesting that PCNL is preferred for most larger stones. Results for staghorn calculi comparable to anatrophic nephrolithotomy with lowered morbidity may be achieved with PCNL followed by ESWL. PCNL is also preferred for stone-containing, calyceal diverticula.

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  1. Institute for Kidney Stone Diseaes, Methodist Hospital of Indiana, 1801 N. Senate Blvd., #690, 46201, Indianapolis, Indiana, USA

    J. E. Lingeman

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Lingeman, J.E. Current concepts in the relative efficacy of percutaneous nephrostolithotomy and extracorporeal shock wave lithotripsy. World J Urol 5, 229–236 (1987). https://doi.org/10.1007/BF00327226

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