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Management of Lower Pole Nephrolithiasis: A Critical Analysis

1994; Lippincott Williams & Wilkins; Volume: 151; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(17)35042-5

1527-3792

James E. Lingeman, Yoram I. Siegel, Bradley Steele, Allen W. Nyhuis, John R. Woods,

Pediatric Urology and Nephrology Studies

No AccessJournal of Urology1 Mar 1994Management of Lower Pole Nephrolithiasis: A Critical Analysis James E. Lingeman, Yoram I. Siegel, Bradley Steele, Allen W. Nyhuis, and John R. Woods James E. LingemanJames E. Lingeman , Yoram I. SiegelYoram I. Siegel , Bradley SteeleBradley Steele , Allen W. NyhuisAllen W. Nyhuis , and John R. WoodsJohn R. Woods View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35042-5AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The results of extracorporeal shock wave lithotripsy (ESWL*) and percutaneous nephrostolithotomy for the treatment of lower pole nephrolithiasis were examined in 32 consecutive patients undergoing percutaneous nephrostolithotomy at the Methodist Hospital of Indiana and through meta-analysis of publications providing adequate stratification of treatment results. Of 101 cases managed with percutaneous nephrostolithotomy 91 (90%) were stone-free, a result significantly better than that achieved with ESWL (1,733 of 2,927 stone-free, 59%). Stone-free rates with percutaneous nephrostolithotomy were independent of stone burden, whereas stone-free rates with ESWL were inversely correlated to the stone burden treated. The morbidity of patients undergoing percutaneous nephrostolithotomy at our hospital was minimal, with a mean hospital stay of 4.7 ± 2.8 days. No blood transfusions were required. All patients became stone-free. The percentage of urolithiasis patients with lower pole calculi is increasing. Because of the significantly greater efficacy of percutaneous nephrostolithotomy for lower pole calculi, particularly stones larger than 10mm. in diameter, further consideration should be given to an initial approach with percutaneous nephrostolithotomy. © 1994 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byLong Q, Zhang J, Xu Z, Zhu Y, Liu L, Wang H, Guo J and Wang G (2015) A Prospective Randomized Controlled Trial of the Efficacy of External Physical Vibration Lithecbole after Extracorporeal Shock Wave Lithotripsy for a Lower Pole Renal Stone Less Than 2 cmJournal of Urology, VOL. 195, NO. 4 Part 1, (965-970), Online publication date: 1-Apr-2016.Torricelli F, Marchini G, Yamauchi F, Danilovic A, Vicentini F, Srougi M, Monga M and Mazzucchi E (2018) Impact of Renal Anatomy on Shock Wave Lithotripsy Outcomes for Lower Pole Kidney Stones: Results of a Prospective Multifactorial Analysis Controlled by Computerized 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Volume 151Issue 3March 1994Page: 663-667 Advertisement Copyright & Permissions© 1994 by The American Urological Association Education and Research, Inc.Keywordsextracorporeal shockwave lithotripsylithotripsykidney calculiMetricsAuthor Information James E. Lingeman More articles by this author Yoram I. Siegel More articles by this author Bradley Steele More articles by this author Allen W. Nyhuis More articles by this author John R. Woods More articles by this author Expand All Advertisement PDF downloadLoading ...