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Extracorporeal shock wave lithotripsy in paraplegic and quadriplegic patients

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Abstract

As it is known, paraplegic and quadriplegic patients are at an increased risk for urolithiasis. We have studied the effectiveness of extracorporeal shock wave lithotripsy (ESWL) in 15 patients with spinal cord dysfunction who were treated in our ESWL unit. A total of 23 treatments were performed. The number of shock waves ranged between 1500 and 3000 per treatment. Only 1 and 3 patients were stone-free at one-month and 3-month follow-up, respectively. Ten of 15 patients with long-term follow-up of 6 to 20 months were stone-free. The remaining 5 patients with residual fragments had staghorn calculi or stones larger than 2.5cm.

We conclude that ESWL is an effective and well tolerated method for this population but the fragment clearance is delayed and below that for unselected patients.

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References

  1. Chaussy, C., Schmiedt, E., Jocham, D., Schuller, J., Brandl, H., Liedl, B.: Extracorporeal shock wave lithotripsy (ESWL) for treatment of urolithiasis.Urology (Suppl. 5),23, 59 (1984).

    Article  CAS  PubMed  Google Scholar 

  2. Commarr, A. E., Kawaichi, G. K., Bors, E.: Renal calculosis of patients with traumatic cord lesions.J. Urol., 87, 647 (1962).

    Google Scholar 

  3. Drach, W. G., Study Coordinator, Rether, S., Fair, W., Finlayson, B., Gillenwater, J., Griffith, D., Lingeman, J., Newman, D.: Study Group. Report of the United States cooperative study of extracorporeal shock wave lithotripsy.J. Urol., 135, 1127 (1986).

    CAS  PubMed  Google Scholar 

  4. Head, H., Ribboch, G.: The autonomic bladder, excessive sweating and some other reflex conditions in gross injuries of the spinal cord.Brain, 40, 188 (1917).

    Article  Google Scholar 

  5. Lazare, J., Saltzman, B., Sotolongo, J.: Extracorporeal shock wave lithotripsy treatment of spinal cord injury patients.J. Urol., 140, 266 (1988).

    CAS  PubMed  Google Scholar 

  6. Niedrach, L. W., Davis, R. S., Tonetti, F. W., Cochett, A. T. K.: Extracorporeal shock wave lithotripsy in patients with spinal cord dysfunction.Urology, 38, 152 (1991).

    Article  CAS  PubMed  Google Scholar 

  7. Petterson, H. G., Tiselius, N.: Are prophylactic antibiotics necessary during extracorporeal shock wave lithotripsy?Br. J. Urol., 63, 449 (1989).

    Article  Google Scholar 

  8. Smith, P. H., Cook, J. B., Robertson, W. G.: Stone formation in paraplegia.Paraplegia, 7, 77 (1969).

    Article  CAS  PubMed  Google Scholar 

  9. Sofras, F., Karayannis, A., Kostakopoulos, A., Delakas, D., Kastriotis, J., Dimopoulos, C.: Methodology, results and complications in 2000 ESWL treatment.J. Urol., 61, 9 (1988).

    Article  CAS  Google Scholar 

  10. Spirnack, J., Bodner, D., Udayashanker, S., Resnick, M.: Extracorporeal shock wave lithotripsy in traumatic quadriplegic patients: Can it be safely performed without anesthesia?.J. Urol., 139, 18 (1988).

    Google Scholar 

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Authors and Affiliations

  1. Department of Urology, University of Athens, Athens, Greece

    Ch. Deliveliotis, D. Picramenos, A. Kostakopoulos, N. I. Stavropoulos, K. Alexopoulou & E. Karagiotis

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  1. Ch. Deliveliotis
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  2. D. Picramenos
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  3. A. Kostakopoulos
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  4. N. I. Stavropoulos
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  5. K. Alexopoulou
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  6. E. Karagiotis
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Deliveliotis, C., Picramenos, D., Kostakopoulos, A. et al. Extracorporeal shock wave lithotripsy in paraplegic and quadriplegic patients. Int Urol Nephrol 26, 151–154 (1994). https://doi.org/10.1007/BF02768278

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  • DOI: https://doi.org/10.1007/BF02768278

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