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Extracorporeal Shock Wave Lithotripsy for the Treatment of Urinary Calculi in the Elderly
Author(s) -
Kramolowsky Eugene V.,
Quinlan Stephen M.,
Loening Stefan A.
Publication year - 1987
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1987.tb02318.x
Subject(s) - medicine , extracorporeal shock wave lithotripsy , urinary system , extracorporeal , upper urinary tract , lithotripsy , surgery , population , calculus (dental) , environmental health , dentistry
Renal calculus in the elderly patient is associated with the same symptoms and risks as in other patient populations. With the recent development of extracorporeal shock wave lithotripsy (ESWL), many older patients can now be treated for renal calculi. The Department of Urology at the University of Iowa Hospitals and Clinics has performed 107 ESWL treatments on a total of 96 patients over 70 years of age. This represents 1over 12% of all patients treated at our institution. No deaths related to ESWL treatment have occurred in this group, nor has increased morbidity been observed in comparison to all patients treated. In spite of the increased age and associated medical problems of this patient population, ESWL offers a safe and effective means of treating upper tract urinary calculi in the geriatric age group.