Abstract
Herein we describe the fate of 48 staghorn stones treated primarily with extracorporeal shock wave lithotripsy (ESWL) within an observation period of up to three years. Thirty patients (61%) who became stone free within eight months had two recurrences (6%) and were retreated within two years. Of 18 patients with residual stones, ten became symptomatic and needed auxiliary treatment, and nine eventually were rendered stone free. At 24 months, 84% of the original 48 patients were stone free, and the remainder were free of symptoms. Based on these observations, our approach to staghorn stones has been modified with regard to stone and patient-related parameters, such as stone burden, upper urinary tract anatomy, stone composition, and patient compliance.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Chaussy C, Schmiedt E, Jocham D, et al: First clinical experience with extracorporeally induced destruction of kidney stones by shock waves. J Urol 127: 417, 1981.
Fuchs G, Miller K, Rassweiler J, et al: Alternatives to open surgery for renal calculi: percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy. In Schilling W: Klinische und Experimentelle Urologie. Munchen: Zuckschwerdt, 1984.
Miller K, Fuchs G, Bub P, et al: Kombination von perkutaner nephrolithotomie (PCN) und extracorporaler Stoswellenlithotripsie (ESWL): eine neue Moeglichkeit zur Behandlung von Nierenausgussteinen. Akt Urol 15: 317, 1984.
Eisenberger F, Fuchs G, Miller K, et al: Extracorporeal shock wave lithotripsy and endourology: an ideal combination for the treatment of kidney stones. World J Urol 3: 41, 1985.
Drach GW, Dretler SP, Fair WR, et al: Report of the United States cooperative study of extracorporeal shock wave lithotripsy. J Urol 135: 1127, 1986.
Winfield HN, Clayman RV, Chaussy C, et al: Monotherapy of staghorn calculi: comparative study between percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy. J Urol 139: 895, 1988.
Chaussy C, Schmiedt E, Jocham D, et al: Extracorporeal Shock Wave Lithotripsy, Second Edition. Basel, Switzerland: Karger, 1986.
Riehle R, Fair W, Vaughn D: Extracorporeal shock wave lithotripsy for upper urinary tract calculi: one-year experience at a single center. JAMA 255: 2043, 1986.
Chaussy C and Fuchs G: Extracorporeal shock wave lithotripsy (ESWL) for the treatment of upper urinary stones. In Gillenwater JY, Grayhack JT, Howards SS, et al. (eds): Textbook on Adult and Pediatric Urology. Chicago: Year Book Publishers, 1987.
Rassweiler J, Gumpinger R, Miller K, et al: Multimodal treatment (ESWL and endourology) of complicated renal stone disease. Eur Urol 12: 294, 1986.
Scharfe T, Alken P, Muller S: Combined treatment of staghorn calculi by PNL and ESWL. J Urol 135: 298A (abstract), 1986.
Schulze H, Hertle L, Graff J, et al: Combined treatment of branched calculi by percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy. J Urol 135: 151A (abstract), 1986.
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.
Libby J and Griffith D: Large calculi and ESWL: is morbidity minimized by ureteral stents? J Urol 135: 182A (abstract), 1986.
Fuchs GJ, Chaussy CG, Royce PL, et al: Staghorn stones: emerging treatment strategies. Endourology 2: 1, 1987.
Hardy M and McLeod D: Silent renal obstruction with severe functional loss after extracorporeal shock wave lithotripsy: report on two cases. J Urol 137: 91, 1987.
Lingeman JE: Current concepts in the relative efficacy of percutaneous nephrostolithotomy and extracorporeal shock wave lithotripsy. World J Urol 5: 229, 1987.
Fuchs G and Chaussy C: Extracorporeal shock wave lithotripsy for staghorn stones: reassessment of our treatment strategy. World J Urol 5: 237, 1987.
Segura J, Patterson D, LeRoy AJ: Combined percutaneous ultrasonic lithotripsy and extracorporeal shock wave lithotripsy. World J Urol 5: 245, 1987.
Eisenberger F, Rassweiler J, Bub P, et al: Differentiated approach to staghorn calculi using extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy: an analysis of 151 consecutive cases. World J Urol 5: 248, 1987.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1988 Springer Science+Business Media New York
About this chapter
Cite this chapter
Fuchs, G.J., Fuchs, A.M., Royce, P.L., Stenzl, A., Chaussy, C.G. (1988). Staghorn Stone Treatment with Extracorporeal Shock Wave Lithotripsy: The Fate of Residual Stones. In: Lingeman, J.E., Newman, D.M. (eds) Shock Wave Lithotripsy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1977-2_19
Download citation
DOI: https://doi.org/10.1007/978-1-4757-1977-2_19
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4757-1979-6
Online ISBN: 978-1-4757-1977-2
eBook Packages: Springer Book Archive