Percutaneous Approach to Urinary Tract Calculi

  • N. Reed Dunnick
Part of the Clinical Practice in Urology book series (PRACTICE UROLOG)


Urinary tract calculi are a major cause of morbidity and mortality, as they are responsible for over 7 out of every 1000 general hospital admissions. In certain areas of the United States, particularly the southeast, this rate of hospital admission for stone disease more than doubles [11]. Stones predispose to urinary tract infection by causing obstruction and stasis, and by providing a nidus which may harbor bacteria. In addition, infection of the urinary tract by urea splitting bacteria induces struvite stone formation by making the urine more alkaline, which results in the precipitation of magnesium ammonium phosphate and calcium apatite. Stones are also associated with an increased incidence of squamous cell carcinomas of the urinary tract.


Guide Wire Ureteral Stone Percutaneous Approach Stone Removal Percutaneous Nephrostomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Aiken P, Hutschenreiter G, Gunther R, Marbarger M (1981) Percutaneous stone manipulation. J Urol 125: 463–466Google Scholar
  2. 2.
    Banner MP, Pollack HM (1982) Percutaneous extraction of renal and ureteral calculi. Radiology 144: 753–758PubMedGoogle Scholar
  3. 3.
    Braun SD, Moore AV Jr, Miller GA, Ford KK, Dunnick NR (to be published) A technique to facilitate percutaneous nephrostomy in nonobstructed kidneys. Cardiovasc Intervent RadiolGoogle Scholar
  4. 4.
    Braun SD, Moore AV Jr, Miller GA, Ford KK, Dunnick NR (1984) A technique for conversion from small (0.018–) to large (0.038″) guidewires for drainage procedures. Urol Radiol 6: 227PubMedCrossRefGoogle Scholar
  5. 5.
    Carson CC, Moore AV, Weinerth JL, Ford KK, Dunnick NR (1984) Percutaneous dissolution of renal calculi using ultrasonic litholapaxy. South Med J 77: 196–199PubMedCrossRefGoogle Scholar
  6. 6.
    Carson CC, Braun SD, Weinerth JL, Dunnick NR (1984) Modified Johnson basket for antegrade stone extraction. Urology 24: 359PubMedCrossRefGoogle Scholar
  7. 7.
    Castaneda-Zuniga WR, Tadavarthy SM, Murphy W, Beranei KI, Amplatz K (1976) Nonsurgical closure of a large arteriovenous fistula. JAMA 236: 2649PubMedCrossRefGoogle Scholar
  8. 8.
    Castaneda-Zuniga WR, Clayman R, Smith A, Rusnak B, Herrera M, Amplatz K (1982) Nephrostolithotomy: percutaneous techniques for urinary calculus removal. AJR 139: 721–726PubMedGoogle Scholar
  9. 9.
    Clayman RV, Castaneda-Zuniga WR, Hunter DW, Miller RP, Lange PH, Amplatz K (1983) Rapid balloon dilatation of the nephrostomy track for nephrostolithotomy. Radiology 147: 884–885PubMedGoogle Scholar
  10. 10.
    Clayman RV, Surya V, Castaneda-Zuniga WR, Miller RP, Lange PH (1983) Percutaneous nephrolithotomy with Mazzariello-Caprini forceps. J Urol 129: 1213–1215PubMedGoogle Scholar
  11. 11.
    Drach GW (1978) Urinary lithiasis. In: Campbell’s urology, 4th edn. W.B. Saunders, Philadelphia, pp 784–790Google Scholar
  12. 12.
    Dunnick NR, Braun SB (1985) Imaging and access to the urinary tract. In: Dunnick NR, Carson CC (eds) Endourology. Churchill Livingstone, New YorkGoogle Scholar
  13. 13.
    Dunnick NR, Carson CC, Moore AV Jr, Ford K, Miller GA, Braun SD, Newman GE, Weinerth JL (1985) Percutaneous approach to nephrolithiasis. AJR 144: 451PubMedGoogle Scholar
  14. 14.
    Ford K, Weinerth JL (1985) Renal anatomy. In: Carson CC, Dunnick NR (eds) Endourology. Churchill Livingstone, New YorkGoogle Scholar
  15. 15.
    LeRoy AJ, May GR, Segura JW, Patterson DE, McGough PF (1984) Rapid dilatation of percutaneous nephrostomy tracks. AJR 142: 355–357PubMedGoogle Scholar
  16. 16.
    Schultz RE, Hanno PM, Wein AJ, Levin RM, Pollack HM, Van Arsdalen KN (1983) Percutaneous ultrasonic lithotripsy: choice of irrigant. J Urol 130: 858–860PubMedGoogle Scholar
  17. 17.
    Segura JW, Patterson DE, LeRoy AJ, May GR, Smith LH (1983) Percutaneous lithotripsy. J Urol 130: 1051–1054PubMedGoogle Scholar
  18. 18.
    Shehadi WH, Toniolo G (1980) Adverse reactions to contrast media. Radiology 137: 299–302PubMedGoogle Scholar
  19. 19.
    Wallace S, Schwarten DE, Smith DC, Gerson LP, Davis LJ (1978) Intrarenal arteriovenous fistulas: transcatheter steel coil occlusion. J Urol 120: 282–286PubMedGoogle Scholar
  20. 20.
    Weinerth JL, Dunnick NR (1985) Perioperative management. In: Carson CC, Dunnick NR (eds) Endourology. Churchill Livingstone, New YorkGoogle Scholar
  21. 21.
    Wickham JEA, Kellett MJ, Miller RA (1983) Elective percutaneous nephrolithotomy in 50 patients: an analysis of the technique, results, and complications. J Urol 129: 904–906PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • N. Reed Dunnick

There are no affiliations available

Personalised recommendations