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Extracorporeal Shock Wave Lithotripsy in Patients with Renal Malformations
Author(s) -
THEISS M.,
WIRTH M. P.,
FROHMÜLLER H. G. W.
Publication year - 1993
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1993.tb16203.x
Subject(s) - medicine , extracorporeal shock wave lithotripsy , ectopic kidney , renal colic , horseshoe kidney , urinary system , surgery , lithotripsy , kidney stones , kidney , urology , alternative medicine , pathology
Summary Twenty‐four consecutive patients with malformed kidneys (21 horseshoe kidneys, 2 crossed ectopic and 1 pelvic kidney) underwent extracorporeal shock wave lithotripsy (ESWL) for nephrolithiasis between 1984 and 1990. No serious complications occurred either during or after treatment. Urinary obstruction was accompanied by fever in 3 patients and by renal colic in 4. Auxiliary measures were required in only 2 cases. Patients with renal anomalies remained in hospital longer than patients with normal kidneys. Fifteen patients were free of stones 3 months after ESWL and 16 after 1 year. Six patients required further ESWL less than 1 year after their first treatment as a result of stone recurrence or regrowth. ESWL is a safe and successful non‐invasive procedure for the treatment of nephrolithiasis in patients with malformed kidneys. However, the higher frequency of stone recurrence and regrowth means that these patients must undergo careful monitoring.