Evaluation of Residual Stone Fragments Following Lithotripsy: Sonography v Radiography

  • Brett B. Abernathy
  • James S. Morris
  • W. Tad Wilson
  • George L. Miller
  • Glenn M. Preminger

Abstract

The sensitivity of sonography for the detection of residual renal calculi following lithotripsy was compared with the ability to identify stone fragments using radiography (KUB). Following extracorporeal piezoelectric lithotripsy, patients were evaluated with a 3.5 MHz real-time Diasonics ultrasound unit and the ultrasound monitoring system of the Wolf Piezolith 2300 lithotripter. Ultrasonography was performed independently by a radiologist, and by the urologist who had performed the lithotripsy treatment.

Following the ultrasound examination, a KUB was obtained for each patient. All scans and radiographs were reviewed independently by both urologists and radiologists in a blinded fashion, and the results were correlated.

Sonography enabled the detection of the majority of residual renal calculi, with the ability of the urologists to utilize sonography comparing favorably to that of the radiologists. However, because of inherent limitations of sonography, radiography remains a complementary means of identifying residual stone fragments after lithotripsy treatment.

Keywords

Shock Wave Lithotripsy Extracorporeal Shock Wave Lithotripsy Ultra Sound Ureteral Stone Ureteral Calculus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Lingeman JE, Newman DM, Mertz JHO, et al: Extracorporeal shock wave lithotripsy: the Methodist Hospital experience. J Urol 135: 1134, 1986.PubMedGoogle Scholar
  2. 2.
    Graff J, Diederichs W, Schulze H: Long-term follow-up in 1,003 extracorporeal shock wave lithotripsy patients. J Urol 140: 479, 1988.PubMedGoogle Scholar
  3. 3.
    Marberger M, Turk C, S teinkogler I: Painless piezoelectric extracorporeal lithotripsy. J Urol 139: 695, 1988.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1989

Authors and Affiliations

  • Brett B. Abernathy
    • 1
  • James S. Morris
    • 1
  • W. Tad Wilson
    • 1
  • George L. Miller
    • 1
  • Glenn M. Preminger
    • 1
  1. 1.Division of Urology, Department of Surgery, Department of RadiologyThe University of Texas Southwestern Medical CenterDallasUSA

Personalised recommendations