| The University of Michigan experience with percutaneous nephrostolithotomy for urinary matrix calculi. | |
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MedLine Citation:
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PMID: 18342922 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To evaluate commonalities in presentation and long-term efficacy of treatment by percutaneous nephrostolithotomy of matrix stones, a rare form of urinary calculi. METHODS: The clinical data of 9 consecutive patients with urinary matrix calculi in 11 kidneys treated at our institution between 1995 and 2007 were retrospectively reviewed. RESULTS: The matrix component in all 11 kidneys was successfully treated with percutaneous nephrostolithotomy, with few complications. Among 8 patients (9 kidneys) with follow-up, none has had recurrence of matrix stones after a mean follow-up of 3.8 years. Along with previously known risk factors for matrix stones, such as urinary tract infections and renal insufficiency, we identified smoking as another possible risk factor. Long-term antimicrobial prophylaxis was used in only 1 patient and thus does not seem necessary for prevention of recurrence. CONCLUSIONS: Matrix stone treatment with percutaneous nephrostolithotomy is durable and should remain the treatment modality of choice. |
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Authors:
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Michael W Rowley; Gary J Faerber; J Stuart Wolf |
Publication Detail:
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Type: Journal Article Date: 2008-03-17 |
Journal Detail:
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Title: Urology Volume: 72 ISSN: 1527-9995 ISO Abbreviation: Urology Publication Date: 2008 Jul |
Date Detail:
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Created Date: 2008-07-07 Completed Date: 2008-08-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: United States |
Other Details:
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Languages: eng Pagination: 61-4 Citation Subset: IM |
Affiliation:
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Department of Urology, University of Michigan Health System, Ann Arbor, Michigan 48109, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Child Child, Preschool Female Humans Kidney Calculi / chemistry, surgery* Male Middle Aged Nephrostomy, Percutaneous* |
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