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    
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
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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    
Affiliation:
Department of Urology, Technical University of Aachen, Germany.
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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


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