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New Stone Formation: A Comparison of Extracorporeal Shock Wave Lithotripsy and Percutaneous Nephrolithotomy

1996; Lippincott Williams & Wilkins; Volume: 155; Issue: 5 Linguagem: Inglês

10.1016/s0022-5347(01)66127-5

1527-3792

Lesley K. Carr, John R. D'A. Honey, Michael A.S. Jewett, Dominique Ibañez, Michele Ryan, Claire Bombardier,

Poisoning and overdose treatments

No AccessJournal of UrologyClinical Urology: Original Article1 May 1996New Stone Formation: A Comparison of Extracorporeal Shock Wave Lithotripsy and Percutaneous Nephrolithotomy Lesley K. Carr, John R. D'A. Honey, Michael A.S. Jewett, Dominique Ibanez, Michele Ryan, and Claire Bombardier Lesley K. CarrLesley K. Carr , John R. D'A. HoneyJohn R. D'A. Honey , Michael A.S. JewettMichael A.S. Jewett , Dominique IbanezDominique Ibanez , Michele RyanMichele Ryan , and Claire BombardierClaire Bombardier View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66127-5AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: There is theoretical concern that stone recurrence rates may be higher following extracorporeal shock wave lithotripsy (ESWL*) compared to other techniques because of residual stone debris. *Dornier Medical Systems, Inc., Marietta, Georgia. Materials and Methods: We documented all new stone formations in 298 consecutive patients who initially achieved a stone-free status following ESWL for renal calculi less than 2 cm. in largest dimension, and compared the findings to those of 62 patients treated with percutaneous nephrolithotomy without ultrasonic fragmentation. Stone-free status was assessed by a centrally reviewed plain abdominal film and renal tomograms at 3 months. A plain abdominal film was repeated at 12 and 24 months to detect recurrence. Results: New stones formed in 22.2 percent of patients after ESWL and 4.2 percent after percutaneous nephrolithotomy at 1 year (p = 0.004), and in 34.8 percent versus 22.6 percent, respectively, at 2 years (p = 0.190). Furthermore, more new stones recurred in the lower and mid calices compared to baseline location in the ESWL group (chi-square less than 0.0001), which was not observed in the percutaneous nephrolithotomy group. Conclusions: Our data support a trend toward higher stone recurrence rates in ESWL treated patients, which may be due to microscopic sand particles migrating to dependent calices and acting as a nidus for new stone formation. References 1 : Extracorporeal shock-wave lithotripsy: prevalence of renal stones 3-21 months after treatment. AJR1988; 150: 307. Google Scholar 2 : Lithostar extracorporeal shock wave lithotripsy: the first 1,000 patients. J. Urol1992; 147: 1006. Link, Google Scholar 3 : Percutaneous removal of renal and ureteral calculi: experience with 400 cases. J. Urol1985; 134: 662. Link, Google Scholar 4 : Percutaneous removal of kidney stones: review of 1,000 cases. J. Urol1985; 134: 1077. Link, Google Scholar 5 : Extracorporeal shock-wave lithotripsy: slam-bang effects, silent side effects?. AJR1988; 150: 316. 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Google Scholar Departments of Surgery (Division of Urologic Surgery) and Community Health (Division of Clinical Epidemiology), University of Toronto, Toronto, Ontario, Canada.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byAkman T, Binbay M, Kezer C, Yuruk E, Tekinarslan E, Ozgor F, Sari E, Aslan R, Berberoglu Y and Muslumanoglu A (2012) Factors Affecting Kidney Function and Stone Recurrence Rate After Percutaneous Nephrolithotomy for Staghorn Calculi: Outcomes of a Long-Term FollowupJournal of Urology, VOL. 187, NO. 5, (1656-1661), Online publication date: 1-May-2012.Xue Y, He D, Chen X, Li X, Zeng J and Wang X (2009) Shock Wave Induced Kidney Injury Promotes Calcium Oxalate DepositionJournal of Urology, VOL. 182, NO. 2, (762-765), Online publication date: 1-Aug-2009.Krambeck A, LeRoy A, Patterson D and Gettman M (2008) Percutaneous Nephrolithotomy Success in the Transplant KidneyJournal of Urology, VOL. 180, NO. 6, (2545-2549), Online publication date: 1-Dec-2008.Krambeck A, LeRoy A, Patterson D and Gettman M (2008) Long-Term Outcomes of Percutaneous Nephrolithotomy Compared to Shock Wave Lithotripsy and Conservative ManagementJournal of Urology, VOL. 179, NO. 6, (2233-2237), Online publication date: 1-Jun-2008.ALBALA D, ASSIMOS D, CLAYMAN R, DENSTEDT J, GRASSO M, GUTIERREZ-ACEVES J, KAHN R, LEVEILLEE R, LINGEMAN J, MACALUSO J, MUNCH L, NAKADA S, NEWMAN R, PEARLE M, PREMINGER G, TEICHMAN J and WOODS J (2018) LOWER POLE I: A PROSPECTIVE RANDOMIZED TRIAL OF EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY AND PERCUTANEOUS NEPHROSTOLITHOTOMY FOR LOWER POLE NEPHROLITHIASIS—INITIAL RESULTSJournal of Urology, VOL. 166, NO. 6, (2072-2080), Online publication date: 1-Dec-2001.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.PIERRATOS A, DHARAMSI N, CARR L, IBANEZ D, JEWETT M and HONEY R (2018) HIGHER URINARY POTASSIUM IS ASSOCIATED WITH DECREASED STONE GROWTH AFTER SHOCK WAVE LITHOTRIPSYJournal of Urology, VOL. 164, NO. 5, (1486-1489), Online publication date: 1-Nov-2000.YAGISAWA T, CHANDHOKE P and FAN J (2018) COMPARISON OF COMPREHENSIVE AND LIMITED METABOLIC EVALUATIONS IN THE TREATMENT OF PATIENTS WITH RECURRENT CALCIUM UROLITHIASISJournal of Urology, VOL. 161, NO. 5, (1449-1452), Online publication date: 1-May-1999.Preminger G (2018) Editorial: Nephrolithiasis—Solutions for Emerging ProblemsJournal of Urology, VOL. 156, NO. 3, (910-911), Online publication date: 1-Sep-1996. Volume 155Issue 5May 1996Page: 1565-1567 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Lesley K. Carr More articles by this author John R. D'A. Honey More articles by this author Michael A.S. Jewett More articles by this author Dominique Ibanez More articles by this author Michele Ryan More articles by this author Claire Bombardier More articles by this author Expand All Advertisement PDF downloadLoading ...