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In situ prone ESWL for the treatment of lower ureteral stones: Experience with 28 patients

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Abstract

Twenty-eight patients with lower ureteral stones underwent in situ extracorporeal shock wave lithotripsy (ESWL) in the prone position over the period of 7 months between March 1990 and September 1990. For stone disintegration the spark gap shock wave lithotripter Tripter XI (Direx) was used. Satisfactory disintegration was achieved in 93 per cent of patients. The stone-free rate at 12 weeks was 82 per cent, and 11 per cent had residual fragments less than or equal to 4 mm in diameter. Twenty-one per cent of patients required repeat treatments. For only 2 patients general anaesthesia was required (7 per cent). There were no remarkable complications except for haemospermia which resolved spontaneously 15 days after treatment. It was concluded that in situ prone ESWL is an effective and safe procedure for the treatment of lower ureteral stones.

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References

  1. Jenkins, A. D.: Dornier extracorporeal shock-wave lithotripsy for ureteral stones.Urol. Clin. North Am., 15, 377 (1988).

    PubMed  CAS  Google Scholar 

  2. Prez-Castro Ellendt, E., Martinez-Pinerio, J. A.: Ureteral and renal endoscopy. A new approach.Eur. Urol., 8 117 (1982).

    Google Scholar 

  3. Dretler, S. P.: Ureteral stone disease. Options for management.Urol. Clin. North Am., 17, 217 (1990).

    PubMed  CAS  Google Scholar 

  4. El-Faqih, S. R., Husain, I., Ekman, P.E., Sharma, N. D., Chakrabarty, A., Talic, R.: Primary choice of intervention for distal ureteric stone: Ureteroscopy or ESWL?Br. J. Urol., 62, 13 (1988).

    Article  PubMed  CAS  Google Scholar 

  5. Cole, R. S., Shuttleworth, K. E. D.: Is extracorporeal shock wave lithotripsy a suitable treatment for lower ureteric stones?Br. J. Urol., 62, 525 (1988).

    PubMed  CAS  Google Scholar 

  6. Netto, N. R., Lemos, G. S., Claro, J. F. A.: In situ extracorporeal shock wave lithotripsy for ureteral calculi.J. Urol., 144, 253 (1990).

    Google Scholar 

  7. Becht, E., Moll, V., Neisius, D., Ziegler, M.: Treatment of prevesical ureteral calculi by extracorporeal shock wave lithotripsy.J. Urol., 139, 916 (1988).

    PubMed  CAS  Google Scholar 

  8. Yeaman, L. D., Jerome, J. P., Mc Cullough, D. L.: Effects of shock waves on the structure and growth of the immature rat epiphysis.J. Urol., 141, 670 (1989).

    PubMed  CAS  Google Scholar 

  9. Miller, K., Bubeck, J. R., Hautmann, R.: Extracorporeal shock wave lithotripsy of distal ureteral calculi.Eur. Urol., 12, 305 (1986).

    PubMed  CAS  Google Scholar 

  10. Chaussy, C. G., Fuchs, G. J.: Extracorporeal shock wave lithotripsy of distal-ureteral calculi: Is it worthwhile?J. Endourol., 1, 1 (1987).

    Google Scholar 

  11. Jenkins, A. D., Gillenwater, J. Y.: Extracorporeal shock wave lithotripsy in the prone position: Treatment of stones in the distal ureter or anomalous kidney.J. Urol., 139, 911 (1988).

    PubMed  CAS  Google Scholar 

  12. Schultz, A., Kristensen, J. K., Bilde, T., Eldrup, J.: Ureteroscopy: Results and complications.J. Urol., 137, 865 (1987).

    PubMed  CAS  Google Scholar 

  13. Kostakopoulos, A., Sofras, F., Karayiannis, A., Kranidis, A., Dimopoulos, C.: Ureterolithotripsy: Report of 1000 cases.Br. J. Urol., 63, 243 (1989).

    PubMed  CAS  Google Scholar 

  14. Daniels, G. F., Garnett, J. E., Carter, M. F.: Ureteroscopic results and complications: Experience with 130 cases.J. Urol., 139, 710 (1988).

    PubMed  Google Scholar 

  15. Mc Cullough, D. L., Yeaman, L. D., Bo, W. J., Assimos, D. G., Kroovand, R. L., Griffin, A. S., Furr, E. G.: Effects of shock waves on the rat ovary.J. Urol., 141, 666 (1989).

    CAS  Google Scholar 

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Bašar, I., Gürpinar, T. & Erkan, A. In situ prone ESWL for the treatment of lower ureteral stones: Experience with 28 patients. International Urology and Nephrology 24, 369–373 (1992). https://doi.org/10.1007/BF02550628

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