New therapeutic alternative for complex renal lithiasis

The combination of percutaneous nephrolitotomy and renal extracorporeal litothricy, is currently considered to be the best choice for the treatment of complex renal lithiasis. This procedure, however, quite frequently needs the use of adjuvant maneouvers (urethroscopy, catheterization, large number...

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Published inActas urologicas españolas Vol. 15; no. 1; p. 25
Main Authors Serrate Aguilera, R G, Urmeneta Sanromá, J M, Banús Gassol, J M, Regué Aldosa, R, Rius Espina, G, Prats López, J
Format Journal Article
LanguageSpanish
Published Spain 01.01.1991
Subjects
Adult
Aged
Combined Modality Therapy
Female
Follow-Up Studies
Humans
Kidney - surgery
Kidney Calculi - diagnostic imaging
Kidney Calculi - therapy
Lithotripsy
Male
Middle Aged
Radiography
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Summary:The combination of percutaneous nephrolitotomy and renal extracorporeal litothricy, is currently considered to be the best choice for the treatment of complex renal lithiasis. This procedure, however, quite frequently needs the use of adjuvant maneouvers (urethroscopy, catheterization, large number of sessions, etc.), and there is a considerable proportion of residual lithiasis. We present here our series using a new therapeutic sequence: first, we perform extracorporeal litothricy (ESWL) of calices not accessible to the nephroscope, followed by percutaneous nephrolitotomy which has revealed to be a simplification of the percutaneous surgical technique since it decreases the movements of the nephroscope and the use of ultrasounds. Calyceal lithiasis previously fragmented are then extracted through the nephrostomic channel and so no lithiatic paths are induced, the percentage of residual lithiasis being also lower.
ISSN:0210-4806