Abstract
Technologic advances over the past 3 decades have resulted in dramatic changes in the interventional management of kidney stones. Prudent application of minimally invasive surgical treatment modalities allows for the opportunity to achieve high stone-free rates with low morbidity and short recovery. Available modalities for the surgical management of kidney stones, including extracorporeal shock wave lithotripsy (ESWL), percutaneous renal surgery (PRS), and retrograde intrarenal ureterorenoscopic surgery (RIRS), obviate the need for open surgery in the vast majority of kidney stone patients. In this chapter, we review the differential indications when treating renal stones, and we review in detail the indications for and techniques of endoscopic RIRS. We discuss currently available stone fragmentation technology and examine in detail specific stone presentations, including stones of varying sizes located in any anatomic portion of the kidney (renal pelvis, superior versus inferior-pole calyces, calyceal diverticula). We also review the role of endoscopic retrograde surgical treatment for patients with anatomic abnormalities that include: fused/ectopic kidneys, allograft kidneys, prior upper urinary tract reconstruction, and body habitus abnormalities.
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References
Chaussy C, Brendel W, Schmiedt E. Extracorporeally induced destruction of kidney stones by shock waves. Lancet. 1980;316(8207): 1265-1268.
Chaussy C, Schmiedt E, Jocham D, et al. First clinical experience with extracorporeally induced destruction of kidney stones by shock waves. J Urol. 1981;127:417-420.
Chaussy C, Schmiedt E. Extracorporeal shock wave lithotripsy (ESWL) for kidney stones. An alternative to surgery? Urol Radiol. 1984;6:80-87.
Fuchs GJ, Chaussy CG. Extracorporeal shock wave lithotripsy of staghorn stones: reassessment of our treatment strategy. World J Urol. 1987;5:237-244.
Fuchs G, Fuchs A. Urinary stones which cannot be managed with extracorporeal shockwave lithotripsy. In: Andreucci VE, Fine LG, eds. International Yearbook of Nephrology. London: Springer; 1994.
Lingeman JE, Matlaga BR, Evan AP. Surgical Management of Upper Urinary Tract Calculi. In: Wein AJ et al., eds. Campbell-Walsh Urology. 9th ed. Philadelphia: Saunders Elsevier; 2007.
Rehman J, Monga M, Landman J, et al. Characterization of intrapelvic pressure during ureteropyeloscopy with ureteral access sheaths. Urology. 2003;61:713-718.
Fuchs G, Chaussy C. Patient selection for extracorporeal shock wave lithotripsy. In: McCullough D, ed. Difficult Diagnoses in Urology. Edinburgh: Churchill Livingstone; 1988.
Winfield HN, Clayman RV, Chaussy CG, et al. Monotherapy of staghorn calculi: comparative study between percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy. J Urol. 1988;139:895-899.
Young HH, McKay RW. Congenital valvular obstruction of the prostatic urethra. Surg Gynecol Obstet. 1929;48:509-535.
Kourambas J, Byrne RR, Preminger GM. Does a ureteral access sheath facilitate ureteroscopy? J Urol. 2001;165:789-793.
Takayasu H, Aso Y. Recent development for pyeloureteroscopy: guide tube method for its introduction into the ureter. J Urol. 1974;112:176-178.
Bagley DH, Huffman JL, Lyon ES. Flexible ureteropyeloscopy: diagnosis and treatment in the upper urinary tract. J Urol. 1987;138:280-285.
Dretler SP, Cho G. Semirigid ureteroscopy: a new genre. J Urol. 1989;141:1314-1316.
Fuchs GJ, David RD. Flexible ureteroscopy, dilation of narrow caliceal neck, and ESWL: a new, minimally invasive approach to stones in caliceal diverticula. J Endourol. 1989;3:255-263.
Streem SB, Yost A, Domatch B. Combination ‘sandwich’ therapy for extensive renal calculi in 100 consecutive patients: immediate, long-term and stratified results from a 10-year experience. J Urol. 1997;158:342-345.
Angeloff A. Hydro electrolithotripsy. J Urol. 1972;108(6):867-871.
Begun FP. Modes of intracorporeal lithotripsy: ultrasound versus electrohydraulic lithotripsy versus laser lithotripsy. Semin Urol. 1994;12(1):39-50.
Lee MH, Lee YH, Chen MT, et al. Management of painful calyceal stones by extracorporeal shock wave lithotripsy. Eur Urol. 1990;18: 211-214.
Psihramis KE, Dretler SP. Extracorporeal shock wave lithotripsy of caliceal diverticula calculi. J Urol. 1987;138:707-711.
Ritchie AW, Parr NJ, Moussa SA, et al. Lithotripsy for calculi in caliceal diverticula? Br J Urol. 1990;66:6-8.
Jones JA, Lingeman JE, Steidle CP. The roles of extracorporeal shock wave lithotripsy and percutaneous nephrostolithotomy in the management of pyelocaliceal diverticula. J Urol. 1991;146:72-77.
Fuchs GJ, Patel A, Tognoni P. Management of stones associated with anatomic abnormalities of the urinary tract. In: Coe FL et al., eds. Kidney Stones: Medical and Surgical Management. Philadelphia: Lippincott-Raven; 1996.
Desai RA, Assimos DG. Role of laparoscopic stone surgery. Urology. 2008;71(4):578-580.
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Rosenblatt, G.S., Fuchs, G.J. (2010). Indications for and Technique of Retrograde Intrarenal Surgery for Renal Stones. In: Rao, N., Preminger, G., Kavanagh, J. (eds) Urinary Tract Stone Disease. Springer, London. https://doi.org/10.1007/978-1-84800-362-0_43
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DOI: https://doi.org/10.1007/978-1-84800-362-0_43
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