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Adjunct Controlled Inversion Therapy Following Extracorporeal Shock Wave Lithotripsy for Lower Pole Caliceal Stones

1991; Lippincott Williams & Wilkins; Volume: 146; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(17)37973-9

1527-3792

Nelson Rodrígues Netto, Joaquim F.A. Claro, Pedro Luis Cortado, Gustavo Caserta Lemos,

Traumatic Ocular and Foreign Body Injuries

No AccessJournal of Urology1 Oct 1991Adjunct Controlled Inversion Therapy Following Extracorporeal Shock Wave Lithotripsy for Lower Pole Caliceal Stones Nelson Rodrigues Netto, Joaquim F.A. Claro, Pedro L. Cortado, and Gustavo C. Lemos Nelson Rodrigues NettoNelson Rodrigues Netto , Joaquim F.A. ClaroJoaquim F.A. Claro , Pedro L. CortadoPedro L. Cortado , and Gustavo C. LemosGustavo C. Lemos View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)37973-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The lower calix is responsible for a significant number of kidneys with residual stone fragments after extracorporeal shock wave lithotripsy (ESWL* Dornier Medical Systems, Inc., Marietta, Georgia. ). To compare the effectiveness of controlled inversion therapy as an adjunctive method to the elimination of calculous fragments, 42 patients who had undergone treatment for lower caliceal stones with a Siemens Lithostar† Siemens Medical Systems, Inc., Iselin, New Jersey. lithotriptor were reviewed. Of the patients 25 had no adjunctive therapy and 17 underwent controlled inversion therapy. The success rate, effectiveness quotient and complication rate were analyzed. Followup consisted of ultrasound and a nephrotomogram 1 day and 1 to 3 months postoperatively. Complete removal of all stone fragments was achieved in 84% of the patients without an adjunctive maneuver and in 64.7% of those treated with controlled inversion therapy. The effectiveness quotient was 72.4% and 35.5%, respectively. The group treated without adjunctive therapy had fewer retreatment sessions and a lower complication rate. There were no complications related to the controlled inversion therapy and patient acceptance was generally enthusiastic. We conclude that controlled inversion therapy did not improve the results of ESWL for lower pole caliceal calculi. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited BySORENSEN C and CHANDHOKE P (2018) Is Lower Pole Caliceal Anatomy Predictive of Extracorporeal Shock Wave Lithotripsy Success for Primary Lower Pole Kidney Stones?Journal of Urology, VOL. 168, NO. 6, (2377-2382), Online publication date: 1-Dec-2002.PACE K, TARIQ N, DYER S, WEIR M and D'A. HONEY R (2018) MECHANICAL PERCUSSION, INVERSION AND DIURESIS FOR RESIDUAL LOWER POLE FRAGMENTS AFTER SHOCK WAVE LITHOTRIPSY: A PROSPECTIVE, SINGLE BLIND, RANDOMIZED CONTROLLED TRIALJournal of Urology, VOL. 166, NO. 6, (2065-2071), Online publication date: 1-Dec-2001.GUPTA N, SINGH D, HEMAL A and MANDAL S (2018) INFUNDIBULOPELVIC ANATOMY AND CLEARANCE OF INFERIOR CALICEAL CALCULI WITH SHOCK WAVE LITHOTRIPSYJournal of Urology, VOL. 163, NO. 1, (24-27), Online publication date: 1-Jan-2000. Volume 146Issue 4October 1991Page: 953-954 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordsextracorporeal shockwave lithotripsykidney pelviskidney calculiMetricsAuthor Information Nelson Rodrigues Netto More articles by this author Joaquim F.A. Claro More articles by this author Pedro L. Cortado More articles by this author Gustavo C. Lemos More articles by this author Expand All Advertisement Loading ...