Resolution of Bacteriuria in Infectious Stone Patients: Comparison of Results Employing Newer Treatment Modalities
One hundred forty-five patients with a history consistent with infectious stones were treated by either percutaneous nephrostolithotomy (PCNL), extracorporeal shock wave lithotripsy (ESWL), or a combined approach. The results in the small combined group compare favorably with those reported for anatrophic nephrolithotomy. When PCNL was compared with ESWL in patients without indwelling tubes or diversions, bacteriuria was resolved in a significantly higher percentage (86% to 56%, p < 0.5, chi-square test). Although controlled, prospective, randomized studies will be needed to confirm this result, our data suggest that PCNL is more effective in eradicating both stones and infection in this category of patients.
KeywordsShock Wave Lithotripsy Calcium Oxalate Extracorporeal Shock Wave Lithotripsy Residual Stone Calcium Oxalate Stone
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- 6.Jocham D, Chaussy CH, Schmiedt E: Five-year experience with extracorporeal shock wave lithotripsy (ESWL) in the Munich stone center. III World Congress on Endourology. New York, New York, 1985.Google Scholar
- 10.Boyce WH: Surgery of urinary calculi in perspective. Urol Clin N Am 10: 585, 1983.Google Scholar
- 11.Resnick MI: Evaluation and management of infection stones. Urol Clin N Am 8: 265, 1981.Google Scholar
- 12.Drach GW, Dretler SP, Fair WR, et al: Report of the United States cooperative study of extracorporeal shock wave lithotripsy. J Urol 135: 1138, 1986.Google Scholar