In Situ Extracorporeal Shock Wave Lithotripsy for Lower Ureteric Stones

  • R. S. Cole
  • E. L. H. Palfrey
  • K. E. D. Shuttleworth


Twenty-eight patients with lower ureteric calculi unlikely to pass (either spontaneously or without endoscopic disintegration) have been treated by in situ ESWL on the Dornier HM3 lithotripter using a modified technique. The fracturization rate was 86%, and the overall minimum stone-free rate was 64%. Thirteen patients were stone free at the time of discharge from the hospital. Treatment failure was observed in only four patients and two of those had dense lower ureteric steinstrasse as a result of previous ESWL. We conclude that in situ ESWL is an effective and safe method for treating selected lower ureteric stones.


Shock Wave Lithotripsy Extracorporeal Shock Wave Lithotripsy Ureteric Stone Stone Size Ureteric Calculus 


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  1. 1.
    Alyea EP: Cystoscopic removal of large ureteral calculi. J Urol 40: 83, 1938.Google Scholar
  2. 2.
    Dormia E: Dormia basket: standard technique, observations and general concepts. Urology 20: 437, 1982.PubMedCrossRefGoogle Scholar
  3. 3.
    O’Flynn JD: The treatment of ureteric stones: a report of 1,120 patients. Br J Urol 52: 436, 1980.PubMedCrossRefGoogle Scholar
  4. 4.
    Abdelsayed M, Onal E, Wax SH: Avulsion of the ureter caused by stone basket manipulation. J Urol 118: 868, 1977.PubMedGoogle Scholar
  5. 5.
    Coptcoat MJ, Watson G, Wickham JEA: Lasertripsy for ureteral stones: 100 clinical cases. J Endourol 1: 119, 1987.CrossRefGoogle Scholar
  6. 6.
    Schultz A, Kristensen JK, Bilde T, et al: Ureteroscopy: results and complications. J Urol 137: 865, 1987.PubMedGoogle Scholar
  7. 7.
    Kramolowsky EV: Ureteral perforation during ureterorenoscopy: treatment and management. J Urol 138: 36, 1987.PubMedGoogle Scholar
  8. 8.
    Keating MA, Heney NM, Young HH, et al: Ureteroscopy: the initial experience. J Urol 135: 689, 1986.PubMedGoogle Scholar
  9. 9.
    Furlow WL and Bucchiere JJ: The surgical fate of ureteral calculi: review of Mayo Clinic experience. J Urol 116: 559, 1976.PubMedGoogle Scholar
  10. 10.
    Miller K, Fuchs G, Rassweiler J, et al: Treatment of ureteral stone disease: the role of ESWL and endourology. World J Urol 3: 53, 1985.CrossRefGoogle Scholar
  11. 11.
    Rassweiler J and Eisenberger F: ESWL for distal ureteral calculi. In Riehle RA and Newman RC (eds): Principles of Extracorporeal Shock Wave Lithotripsy. New York: Churchill Livingstone, 1987.Google Scholar
  12. 12.
    Sandegard E: Prognosis of stone in the ureter. Acta Chir Scand, suppl 219, 1956.Google Scholar

Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • R. S. Cole
    • 1
  • E. L. H. Palfrey
    • 1
  • K. E. D. Shuttleworth
    • 1
  1. 1.St. Thomas’ Hospital Lithotripter CentreLondonEngland

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