Amy E. Krambeck, Kent C. Krejci, David E. Patterson, Andrew J. LeRoy, Joseph W. Segura
Canadian Journal of Urology, Vol.11, No.5, pp. 2383-2389, 2004
Abstract Objective: Shock wave lithotripsy (SWL) is an attractive initial treatment for nephrolithiasis. Unfortunately, a significant number of stones are resistant to SWL therapy and require subsequent percutaneous ultrasonic lithotripsy (PUL) for definitive treatment. Our objective was to determine if previous SWL had adverse effects on PUL success and if there were differences between the patients undergoing primary PUL and those undergoing PUL after SWL failure.
Materials and methods: In 2001, 108 PULs were performed at our institution, of which 40 (37%) were performed after SWL failure. Stone location, anesthesia time, stone composition and size, and complication rates… More >