Document Detail

Second in situ extracorporeal shock wave lithotripsy in not disintegrated ureteral stones is preferred to retrograde manipulation.
MedLine Citation:
PMID:  7571176     Owner:  NLM     Status:  MEDLINE    
In this study we tried to determine the optimal treatment of upper ureteral stones which are not disintegrated by the first extracorporeal shock wave lithotripsy (ESWL) and to analyze the cost-benefit ratio of retrograde manipulation into the renal pelvis. 180 patients with an upper ureteral stone were treated by ESWL in situ. 40 patients needed a retreatment and were randomized for retrograde manipulation before ESWL or ESWL in situ without a prior manipulation. In both the in situ group and in the push-and-smash group, the stone-free rate was 75%. In stones < 8 mm, the disintegration rate was higher after retrograde manipulation into the renal pelvis and inserting a DJ catheter. In conclusion, ESWL in situ is the optimal treatment for all patients with upper ureteral stones. We reserve retrograde manipulation before a second ESWL for stones < 8 mm. Routinely employed auxiliary procedures such as placement of a DJ catheter increase the costs significantly, without improving the results.
B Planz; H Borchers; P Mattelaer; G Jakse
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Urologia internationalis     Volume:  55     ISSN:  0042-1138     ISO Abbreviation:  Urol. Int.     Publication Date:  1995  
Date Detail:
Created Date:  1995-10-25     Completed Date:  1995-10-25     Revised Date:  2006-10-30    
Medline Journal Info:
Nlm Unique ID:  0417373     Medline TA:  Urol Int     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  16-8     Citation Subset:  IM    
Department of Urology, Technical University of Aachen, Germany.
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MeSH Terms
Cost-Benefit Analysis
Lithotripsy* / economics
Ureteral Calculi / therapy*
Urinary Catheterization

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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