| 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 |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
B Planz; H Borchers; P Mattelaer; G Jakse |
Related Documents
:
|
15333176 - Flexible ureterorenoscopy: prospective analysis of the guy's experience. 1731646 - Gallbladder sludge and stone formation in relation to contractile function after gastre... 9389116 - Observation of curative effect on eosinophilic gastroenteritis by treatment with method... 17919696 - Lemonade therapy increases urinary citrate and urine volumes in patients with recurrent... 17494836 - Early grade repetition and inattention associated with neurofibromatosis type 1. 22965196 - Geometrical stepper-guided navigation system for proact implant under transrectal ultra... |
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 |
Affiliation:
|
Department of Urology, Technical University of Aachen, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cost-Benefit Analysis Humans Lithotripsy* / economics Ureteral Calculi / therapy* Urinary Catheterization |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Extracorporeal shockwave therapy for urolithiasis with renal insufficiency.
Next Document: The Swiss lithoclast: an ideal intracorporeal lithotripter.