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Five-Year Follow-up of Urinary Stone Patients Treated with Extracorporeal Shock Wave Lithotripsy

  • B. Liedl
  • D. Jocham
  • C. Lunz
  • C. Schuster
  • E. Schmiedt

Abstract

Follow-up studies were carried out in patients treated with extracorporeal shock wave lithotripsy (ESWL) from February 1980 to May 1984. The 131 Iodo-hippuran clearance studied separately in both kidneys of the first 18 patients showed no deterioration of renal function seven years post-ESWL.

Follow-up of 754 patients, treated between May 1982 and May 1984, with a wide range of indications for ESWL, shows that stones were detected in 55% at hospital discharge, in 16% at six months post-ESWL, and in 24% at an average of 40 months post-ESWL. The portion of particles bigger than 5 mm increased from 4% (6 months post-ESWL) to 47% (40 months post-ESWL). Review of stone location showed an accumulation of residual stones in the lower calices during the first months after ESWL. In the long-term follow-up, the proportion of pelvic stones increased.

Recurrent stones were found in 8%. Between hospital discharge and 40 months post-ESWL, further urological operations, primarily ESWL, had to be performed in 18% of cases.

Keywords

Extracorporeal Shock Wave Lithotripsy Stone Size Urologic Operation Residual Stone Recurrent Stone 
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

  • B. Liedl
    • 1
  • D. Jocham
    • 1
  • C. Lunz
    • 1
  • C. Schuster
    • 1
  • E. Schmiedt
    • 1
  1. 1.Klinikum Grosshadern, Urologische KlinikLudwig -Maximilians-Universitat MunchenMunchen 70West Germany

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