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Management of Upper Ureteral Calculi with Extracorporeal Shock wave Lithotripsy

1987; Lippincott Williams & Wilkins; Volume: 138; Issue: 4 Part 1 Linguagem: Inglês

10.1016/s0022-5347(17)43351-9

1527-3792

James E. Lingeman, William L. Shirrell, Daniel M. Newman, Phillip G. Mosbaugh, Ronald E. Steele, John R. Woods,

Traumatic Ocular and Foreign Body Injuries

No AccessJournal of Urology1 Oct 1987Management of Upper Ureteral Calculi with Extracorporeal Shock wave Lithotripsy James E. Lingeman, William L. Shirrell, Daniel M. Newman, Phillip G. Mosbaugh, Ronald E. Steele, and John R. Woods James E. LingemanJames E. Lingeman , William L. ShirrellWilliam L. Shirrell , Daniel M. NewmanDaniel M. Newman , Phillip G. MosbaughPhillip G. Mosbaugh , Ronald E. SteeleRonald E. Steele , and John R. WoodsJohn R. Woods View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)43351-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The results of 471 extracorporeal shock wave lithotripsy treatments in 465 patients with solitary ureteral stones managed by several different techniques are reported. In situ treatment was performed in 123 cases without instrumentation and in 47 after placement of a ureteral catheter. Retrograde stone manipulation was performed in 245 cases immediately before extracorporeal shock wave lithotripsy and an additional 56 were manipulated with ureteral stent placement at least 1 week before extracorporeal shock wave lithotripsy. The success rate was significantly greater if the stone was manipulated into the kidney before extracorporeal shock wave lithotripsy. Significantly less energy (p less than 0.0001) was required for complete disintegration if the stone was free floating in the kidney. The need for subsequent procedures was significantly less (p less than 0.0001) for stones manipulated successfully before treatment. More than 85 per cent of the ureteral calculi were manipulated successfully into the kidney. Complications were infrequent, with the most common being ureteral perforation in 5.1 per cent of the cases, all of which were managed conservatively. Extracorporeal shock wave lithotripsy is the treatment of choice for proximal ureteral calculi because it is less morbid than percutaneous approaches and provides significantly better results than ureteroscopy. An attempt at manipulation of proximal ureteral calculi back into the kidney should be made before extracorporeal shock wave lithotripsy. © 1987 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByWilliams J, Borofsky M, Bledsoe S, Evan A, Coe F, Worcester E and Lingeman J (2018) Papillary Ductal Plugging is a Mechanism for Early Stone Retention in Brushite Stone DiseaseJournal of Urology, VOL. 199, NO. 1, (186-192), Online publication date: 1-Jan-2018.Lopes Neto A, Korkes F, Silva J, Amarante R, Mattos M, Tobias-Machado M and Pompeo A (2018) Prospective Randomized Study of Treatment of Large Proximal Ureteral Stones: Extracorporeal Shock Wave Lithotripsy Versus Ureterolithotripsy Versus LaparoscopyJournal of Urology, VOL. 187, NO. 1, (164-168), Online publication date: 1-Jan-2012.WU C, SHEE J, LIN W, LIN C and CHEN C (2018) COMPARISON BETWEEN EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY AND SEMIRIGID URETERORENOSCOPE WITH HOLMIUM: YAG LASER LITHOTRIPSY FOR TREATING LARGE PROXIMAL URETERAL STONESJournal of Urology, VOL. 172, NO. 5, (1899-1902), Online publication date: 1-Nov-2004.OGISTE J, NEJAT R, RASHID H, GREENE T and GUPTA M (2018) The Role Of Mannitol in Alleviating Renal Injury During Extracorporeal Shock Wave LithotripsyJournal of Urology, VOL. 169, NO. 3, (875-877), Online publication date: 1-Mar-2003.PEARLE M, PIERCE H, MILLER G, SUMMA J, MUTZ J, PETTY B, ROEHRBORN C, KRYGER J and NAKADA S (2018) OPTIMAL METHOD OF URGENT DECOMPRESSION OF THE COLLECTING SYSTEM FOR OBSTRUCTION AND INFECTION DUE TO URETERAL CALCULIJournal of Urology, VOL. 160, NO. 4, (1260-1264), Online publication date: 1-Oct-1998.ROBERTS W, CADEDDU J, MICALI S, KAVOUSSI L and MOORE R (2018) URETERAL STRICTURE FORMATION AFTER REMOVAL OF IMPACTED CALCULIJournal of Urology, VOL. 159, NO. 3, (723-726), Online publication date: 1-Mar-1998.Wolf J, Bub W, Endicott R and Clayman R (2018) Use of Intravenous Contrast Material During in Situ Extracorporeal Shock Wave Lithotripsy of Ureteral CalculiJournal of Urology, VOL. 157, NO. 1, (38-41), Online publication date: 1-Jan-1997.Ehreth J, Drach G, Arnett M, Barnett R, Govan D, Lingeman J, Loening S, Newman D, Tudor J and Saada S (2018) Extracorporeal Shock Wave Lithotripsy: Multicenter Study of Kidney and Upper Ureter Versus Middle and Lower Ureter TreatmentsJournal of Urology, VOL. 152, NO. 5 Part 1, (1379-1385), Online publication date: 1-Nov-1994.Kumar A, Vijay Kumar R, Mishra V, Ahlawat R, Kapoor R and Bhandari M (2018) Should Upper Ureteral Calculi be Manipulated before Extracorporeal Shock Wave Lithotripsy? 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Volume 138Issue 4 Part 1October 1987Page: 720-723 Advertisement Copyright & Permissions© 1987 by The American Urological Association Education and Research, Inc.MetricsAuthor Information James E. Lingeman More articles by this author William L. Shirrell Resident in Urology, Indiana University School of Medicine, Indianapolis Indiana. More articles by this author Daniel M. Newman More articles by this author Phillip G. Mosbaugh More articles by this author Ronald E. Steele More articles by this author John R. Woods More articles by this author Expand All Advertisement Loading ...