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Infectious Staghorn Stones Treated with Extracorporeal Shock Wave Lithotripsy and Hemiacidrin

  • Hans-Goran Tiselius
  • Erik Hellgren
  • Inger Wall

Abstract

Thirty patients with staghorn stones were treated with a combination of extracorporeal shock wave lithotripsy (ESWL) followed by hemiacidrin irrigation. Following the insertion of one or two small percutaneous nephrostomy catheters and a double-J stent, disintegration of the stone was performed with a Dornier HM lithotripter equipped with a 15.6 cm ellipsoid and standard generator (80 nanofarad) system. Immediately after ESWL, irrigation with 10% solution of hemiacidrin was initiated. Treatment was continued until the patients were either stone free or only had small residual fragments no longer affected by hemiacidrin.

This treatment protocol rendered 52% of kidneys stone free at four-week follow-up, and another 24% had only small (< 4 mm) residual fragments.

The combination of ESWL and hemiacidrin irrigation provides an alternative for patients otherwise requiring percutaneous debulking prior to ESWL. Currently all patients are treated without general or regional anesthesia.

Keywords

Extracorporeal Shock Wave Lithotripsy Energy Index Residual Fragment Staghorn Stone Nephrostomy Catheter 
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.

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Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • Hans-Goran Tiselius
    • 1
  • Erik Hellgren
    • 2
  • Inger Wall
    • 1
  1. 1.Department of UrologyLinkoping University HospitalLinkopingSweden
  2. 2.Department of Diagnostic RadiologyLinkoping University HospitalLinkopingSweden

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