The importance of residual calculi on recurrence in patients with infection stones

  • K. Holmgren
  • U. Backman
  • B. G. Danielson
  • B. Fellström
  • G. Johansson
  • S. Ljunghall
  • B. Wikström
Conference paper
Part of the Fortschritte der Urologie und Nephrologie book series (2824, volume 26)

Abstract

Traditionally the purpose in all kind of renal stone surgery is to achieve complete clearance of the kidney. It is, of course, still an important task to remove the stone fragments, although in newer operative techniques with percutaneous endoscopic procedures minimal fragments are left behind even if they are not seen postoperatively on radiograms. In patients with infection-induced stone disease, a residual calculus might maintain the infection, sometimes resulting in a very quick stone re-growth. The aim of this investigation was to study the importance of residual calculi regarding the recurrence of stones and infections in patients operated upon for infection-induced stones.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Blandy J, Singh M (1976) The case for a more aggressive approach to staghorn stones. J Urol 115: 505–506.PubMedGoogle Scholar
  2. 2.
    Fowler JE Jr (1984) Bacteriology of branched renal calculi and accompanying urinary tract infection. J Urol 131: 213–215.PubMedGoogle Scholar
  3. 3.
    Goldwasser B, Weinerth JL, Carson CC, Dunnick NR (1986) Factors affecting the success rate of percutaneous nephrolithotripsy and the incidence of retained fragments. J Urol 136: 358–360.PubMedGoogle Scholar
  4. 4.
    Resnick M, Boyce W (1980) Bilateral staghorn calculi — patient evaluation and management. J Urol 123: 338–341.PubMedGoogle Scholar
  5. 5.
    Royle G, Smith J (1976) Recurrence of infected calculi following postoperative renal irrigation with stone solvent. Br J Urol 48: 531–537.PubMedCrossRefGoogle Scholar
  6. 6.
    Silverman D, Stamey T (1983) Management of infection stones: The Stanford experience. Medicine 62: 44–51.PubMedCrossRefGoogle Scholar
  7. 7.
    Singh M, Marshall V, Blandy J (1975) The residual renal stone. Br J Urol 47: 125–129.PubMedCrossRefGoogle Scholar
  8. 8.
    Sleight M, Wickham J (1977) Long term follow-up 100 cases of renal calculi. Br J Urol 49: 601–604.PubMedCrossRefGoogle Scholar
  9. 9.
    Snyder JA, Smith AD (1986) Staghorn calculi: Percutaneous extractions versus anatrophic nephrolithotomy. J Urol 136: 351–354.PubMedGoogle Scholar

Copyright information

© Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt 1988

Authors and Affiliations

  • K. Holmgren
    • 1
    • 2
  • U. Backman
    • 1
  • B. G. Danielson
    • 1
  • B. Fellström
    • 1
  • G. Johansson
    • 1
  • S. Ljunghall
    • 1
  • B. Wikström
    • 1
  1. 1.Departments of UrologyUniversity HospitalUppsalaSweden
  2. 2.Departments of Internal MedicineUniversity HospitalUppsalaSweden

Personalised recommendations