Abstract
The advent of extracorporeal shock wave lithotripsy (ESWL†), percutaneous nephrostolithotomy (PCNL), and ureteroscopic lithotripsy has revolutionized the treatment of surgically active urolithiasis. The availability of these new technologies has led to diverse opinions as to their exact roles in treating specific urinary calculi. An example of these divergent opinions is the treatment of large renal calculi. Most authorities prefer “sandwich” therapy of large renal stones: percutaneous ultrasonic debulking, ESWL of any retained large fragments, and percutaneous removal of the resultant small particles. Other urologists, especially those in Western Europe, advocate one or more ESWL treatments as the sole therapy of large renal calculi. This paper will present the rationale for the latter approach.
This presentation was part of a planned debate on the following topic: Resolved: Extracorporeal shock wave lithotripsy monotherapy is the preferred mode of treatment for large renal calculi and staghorn stones.
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References
Priestly JT and Dunn JH: Branched renal calculi. J Urol 61: 194, 1949.
Libertino JA, Newman HR, Lytton B, et al: Staghorn calculi in solitary kidneys. J Urol 105: 753, 1971.
Singh M, Chapman R, Tresidder GC, et al: The fate of the unoperated staghorn calculus. Brit J Urol 45: 581, 1973.
Winfield HN, Clayman RV, Chaussy CG, et al: Monotherapy of staghorn renal calculi: a comparative study between percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy. J Urol 139: 895, 1988.
Kahnoski RJ, Lingeman JE, Coury TA, et al: Combined percutaneous and extracorporeal shock wave lithotripsy for staghorn calculi: an alternative to anatrophic nephrolithotomy. J Urol 135: 679, 1986.
Tegtmeyer CJ, Kellum CD, Jenkins A, et al: Extracorporeal shock wave lithotripsy: interventional radiologic solutions to associated problems. Radiology 161: 587, 1986.
Libby JM, Meacham RB, Griffith DP: The role of silicone ureteral stents in extracorporeal shock wave lithotripsy of large renal calculi. J Urol 139: 15, 1988.
Selli C and Carini M: Treatment of large renal calculi with extracorporeal shock wave lithotripsy monotherapy. Eur Urol 15: 161, 1988.
Nemoy NJ and Stamey TA: Surgical, bacteriological, and biochemical management of “infection stones.” DAMA 215: 1470, 1971.
Boyce WH and Elkins IB: Reconstructive renal surgery following anatrophic nephrolithotomy: follow-up of 100 consecutive cases. J Urol 111: 307, 1974.
Silverman DE and Stamey TA: Management of infection stones: the Stanford experience. Medicine 62: 44, 1983.
Segura JW, Erickson SB, Wilson DM, et al: Infected renal lithiasis: results of long-term surgical and medical management. In Smith LH, Robertson WG, Finlayson B (eds): Clinical and Basic Research. New York: Plenum Publishing, 1981.
Jenkins AD, Segura JW, Erickson SB, et al: Infected renal lithiasis: a treatable disorder of the urinary tract. Unpublished observations, 1983.
Michaels EK, Fowler JE, Mariano M: Bacteriuria following extracorporeal shock wave lithotripsy of infection stones. J Urol 140: 354, 1988.
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© 1989 Springer Science+Business Media New York
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Jenkins, A.D. (1989). Is Extracorporeal Shock Wave Lithotripsy Monotherapy a Rational Approach to Large Renal Calculi?. In: Lingeman, J.E., Newman, D.M. (eds) Shock Wave Lithotripsy 2. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-2052-5_57
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DOI: https://doi.org/10.1007/978-1-4757-2052-5_57
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