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. 2013 Mar-Apr;7(3-4):E156-60.
doi: 10.5489/cuaj.473.

The feasibility of shockwave lithotripsy for treating solitary, lower calyceal stones over 1 cm in size

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The feasibility of shockwave lithotripsy for treating solitary, lower calyceal stones over 1 cm in size

Tae Beom Kim et al. Can Urol Assoc J. 2013 Mar-Apr.

Abstract

Introduction: Recently, few studies were reported about the treatment of large, solitary, renal calculi between shockwave lithotripsy (SWL) and percutaneous nephrolithotomy (PNL). We assess the feasibility of SWL for managing solitary, lower calyceal stones over 1 cm by comparing the results of lower pole calculi treatment between patients that underwent SWL or PNL.

Methods: We retrospectively reviewed clinical data for patients who had undergone PNL or SWL due to lower calyceal stones over 1 cm. Group 1 consisted of patients who underwent SWL to treat lower pole renal calculi from 2010 to 2011. Group 2 included patients who underwent PNL to manage lower pole renal calculi from 2008 to 2009. We compared patient age, gender, stone size, comorbidities, postoperative complications, additional interventions and anatomical parameters between the two groups.

Results: A total of 55 patients were enrolled in this study. The mean ages (±SD) of groups 1 (n = 33) and 2 (n = 22) were 55.1 (±13.0) and 50.0 (±10.6) years (p = 0.133) and mean stone sizes were 1.6 (±0.7) and 1.9 (±0.8) cm (p = 0.135), respectively. There were no significant differences in gender distribution, comorbidities or stone laterality between the two groups. No significant differences in various parameters were observed between patients with stones 1 to 2 cm and ones with stones 2 cm or larger.

Conclusions: Our results demonstrated that SWL is a safe, feasible treatment for solitary, lower calyceal stones over 1 cm.

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References

    1. Pearle MS, Lingeman JE, Leveillee R, et al. Prospective randomized trial comparing shock wave lithotripsy and ureteroscopy for lower pole caliceal calculi 1 cm or less. J Urol. 2008;179:S69–73. doi: 10.1016/j.juro.2008.03.140. - DOI - PubMed
    1. Havel D, Saussine C, Fath C, et al. Single stones of the lower pole of the kidney. Comparative results of extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy. Eur Urol. 1998;33:396–400. doi: 10.1159/000019623. - DOI - PubMed
    1. May DJ, Chandhoke PS. Efficacy and cost-effectiveness of extracorporeal shock wave lithotripsy for solitary lower pole renal calculi. J Urol. 1998;159:24–7. doi: 10.1016/S0022-5347(01)63999-5. - DOI - PubMed
    1. Albala DM, Assimos DG, Clayman RV, et al. Lower pole I: a prospective randomized trial of extracorporeal shock wave lithotripsy and percutaneous nephrostolithotomy for lower pole nephrolithiasis-initial results. J Urol. 2001;166:2072–80. doi: 10.1016/S0022-5347(05)65508-5. - DOI - PubMed
    1. Chibber PJ. Percutaneous nephrolithotomy for 1–2 cm lower-pole renal calculi. Indian J Urol. 2008;24:538–43. doi: 10.4103/0970-1591.44264. - DOI - PMC - PubMed

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