6533b836fe1ef96bd12a15a3

RESEARCH PRODUCT

Percutaneous Stone Manipulation

M. MarbergerR. GüntherPeter AlkenG. Hutschenreiter

subject

medicine.medical_specialtyPercutaneousStone clearanceUltrasonic TherapyUrologymedicine.medical_treatment030232 urology & nephrologyKidneyCollection systemKidney Calculi03 medical and health sciences0302 clinical medicineMethodsmedicineHumansCitratesAgedNephrostomy PercutaneousUltrasonic therapybusiness.industryUltrasoundUrographyDilatationSurgerySodium BicarbonatePercutaneous nephrostomy030220 oncology & carcinogenesisNephrostomySolventsRadiologybusinessRadioisotope Renography

description

Percutaneous stone manipulation by direct ultrasound disintegration, extraction or chemolysis was done on 34 patients. A total of 15 patients presented with an operatively established nephrostomy, while percutaneous nephrostomy and subsequent dilation of the nephrostomy channel were done in 19. The rate of complete stone clearance was 19 of 20 stones after percutaneous nephrostomy and 8 of 16 stones in the group with an operatively established nephrostomy. The primary goal, to remove obstructing pelvic stones, was achieved in all cases. There were no untoward side effects, such as back pressure damage owing to flushing of the collecting system during ultrasound disintegration, or persistent infection. Complications in 3 patients were managed conservatively.

yearjournalcountryeditionlanguage
1981-04-01Journal of Urology
https://doi.org/10.1016/j.juro.2016.10.070