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Extracorporeal shock wave lithotripsy for staghorn stones: reassessment of our treatment strategy

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Summary

A total of 48 staghorn stones treated between March and September 1985 with ESWL as a monotherapy revealed a stone-free rate of 61% (follow-up at 8 months). On the basis of these results and the long-term follow-up of these patients (mean follow-up 1.8 years), variables predicting treatment success (freedom from stones and symptoms) and failure were evaluated. Overall stone-burden, architecture of the renal collecting system, stone composition, choice of treatment procedure and patient compliance have been identified as the most important determinants. This study allowed modification of the treatment strategy at UCLA. An additional 94 patients were treated between September 1985 and March 1986 with an individualized approach using ESWL alone, PCN alone, or the combination of both procedures. In this group, 73% of the patients became completely stone-free; the remainder is being followed conservatively.

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Authors and Affiliations

  1. UCLA Stone Center, Department of Surgery/Division of Urology, UCLA School of Medicine, University of California, 90024, Los Angeles, CA, USA

    G. J. Fuchs & C. G. Chaussy

Authors
  1. G. J. Fuchs
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  2. C. G. Chaussy
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Additional information

Gerhard J. Fuchs, M.D. is Visiting Professor of Urology and Director of the UCLA Stone Center

Christian C. Chaussy, M.D. is Professor of Urology and Chairman, Department of Urology, Städt. Krankenhaus München-Harlaching and Visiting Professor of Urology at the Division of Urology, UCLA

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Fuchs, G.J., Chaussy, C.G. Extracorporeal shock wave lithotripsy for staghorn stones: reassessment of our treatment strategy. World J Urol 5, 237–244 (1987). https://doi.org/10.1007/BF00327227

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