Is Extracorporeal Shock Wave Lithotripsy Monotherapy a Rational Approach to Large Renal Calculi?

  • Alan D. Jenkins


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.


Stone Formation Shock Wave Lithotripsy Calcium Oxalate Extracorporeal Shock Wave Lithotripsy Calcium Oxalate Stone 
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Copyright information

© Springer Science+Business Media New York 1989

Authors and Affiliations

  • Alan D. Jenkins
    • 1
  1. 1.Department of UrologyUniversity of Virginia School of MedicineCharlottesvilleUSA

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