Document Detail


A modified algorithm for the management of ureteral calculi: 100 consecutive cases.
MedLine Citation:
PMID:  3418792     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We treated 100 consecutive ureteral calculi requiring intervention with a previously described algorithm. There were 16 ureteropelvic junction, and 18 upper, 22 mid and 44 lower ureteral calculi. Treatment was by a stent and extracorporeal shock wave lithotripsy in 10 ureteropelvic junction, 10 upper ureteral and 3 mid ureteral calculi, ureteroscopy and extracorporeal shock wave lithotripsy in 6 upper and 6 mid ureteral calculi, and ureteroscopy alone in 5 ureteropelvic junction, 2 upper and 12 mid ureteral calculi. All 44 lower ureteral calculi were treated successfully by ureteroscopy. Of the 100 patients studied 98 were treated by endourological methods (extracorporeal shock wave lithotripsy or ureteroscopy), while 2 required an operation (1 with a ureteropelvic junction calculus and 1 with a mid ureteral calculus). Over-all, 100 patients required a total of 125 procedures to accomplish successful stone removal. An algorithm is developed in which lower ureteral calculi are treated by ureteroscopy, mid ureteral calculi (large and dense) by stent bypass and extracorporeal shock wave lithotripsy or (lucent and fragile) by ureteroscopy, upper ureteral calculi by stent bypass and extracorporeal shock wave lithotripsy without manipulation, and impacted ureteral stones initially by ureteroscopy and, if necessary, then by extracorporeal shock wave lithotripsy.
Authors:
S P Dretler; A Weinstein
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  140     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1988 Oct 
Date Detail:
Created Date:  1988-10-21     Completed Date:  1988-10-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  732-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Urology, Massachusetts General Hospital, Boston.
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MeSH Terms
Descriptor/Qualifier:
Algorithms*
Endoscopy
Humans
Lithotripsy
Ureteral Calculi / pathology,  therapy*

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