Extracorporeal Shock Wave Lithotripsy of Ureteral Stones in the Upper, Mid, and Lower Ureter
Ureteral calculi in 320 patients were treated with a variety of ESWL techniques, including retrograde displacement pre-ESWL, ESWL in situ with or without catheter bypass and ESWL in situ with simultaneous irrigation. There were 161 upper ureteral calculi, 28 mid ureteral calculi, and 131 lower ureteral calculi. The success rates for the treatment of upper, and mid ureteral calculi were 82% and 68%, respectively, with the best results being obtained if the stone could be repositioned into the kidney prior to ESWL. Seventy-seven percent of calculi in the lower ureter were successfully managed with ESWL with little difference in the success rate between in situ treatment and treatment after retrograde displacement. The treatment of ureteral calculi with ESWL compares favorably with other treatment options and offers the advantage of being less invasive.
KeywordsExtracorporeal Shock Wave Lithotripsy Ureteral Stone Ureteral Calculus Ureteral Catheter Saline Irrigation
Unable to display preview. Download preview PDF.
- 3.Rassweiler J, Hath U, Bub P: Extracorporeal shock wave lithotripsy (ESWL) for distal ureteral calculi. Endourology 1: 15, 1986.Google Scholar
- 4.Chaussy CG and Fuchs G: Extracorporeal shock wave lithotripsy (ESWL) for the treatment of upper urinary tract stones. In Gillenwater JY, Grayhack JT, Howards SS, et al. (eds): Adult and Pediatric Urology. Chicago: Year Book Medical Publishers, 1987.Google Scholar
- 5.Fuchs G, Lupu A, Chaussy CG: Ultrasonic lithotripsy for ureteral calculi. Endourology 1: 5, 1986.Google Scholar
- 6.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.Google Scholar