Abstract
In July 1987 a multicenter prospective, randomized study was begun in cooperation with other German stone centers, in which the modified Dornier HM3 generator system has been installed. Applying a complex classification of staghorn stones and collecting system, the following criteria are evaluated after at least three-month follow-up:
-
1.
Stone-free rate
-
2.
Pain-free rate
-
3.
Rate of recurrent or persisting infection
-
4.
Functional behavior of the affected kidney
-
5.
Rate of auxiliary measures
-
6.
Perioperative morbidity and in-hospital stay
Complete follow-up data are available on the first 33 patients (20 ESWL monotherapy, 13 combined PNL/ESWL). Hospital stay was shorter with ESWL monotherapy (24.3 days v 32.8 days). There were six failures (30%) in the ESWL monotherapy group and no failures in the combined PNL/ ESWL group. The stone-free rate for ESWL monotherapy (excluding failures) was 42.8% while the stone-free rate for combined PNL/ESWL was 52.8%. ESWL monotherapy and combined PNL/ ESWL appear in these preliminary results to provide comparable results in the management of staghorn calculi. ESWL monotherapy has the advantage of being less invasive.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ackermann D, Claus R, Guist M, et al: Bis zu welcher Steingrosse ist die alleinige ESWL sinnvoll? Annual Meeting German Urologic Society. Stuttgart, Germany, Abstract 39, 1987.
Chaussy C, Fuchs G, Lupu A, et al: Differentialindikationen bei der Behandlung des Ausgussteines. Verh. Ber. Dtsch. Gscht, Urologie. Berlin: Springer-Verlag, 1987.
Fischer N, Rubben H, Hofsass S, et al: Schmerzfreie ESWL mit dem Dornier lithotripsy HM3. Urologie 26: 29, 1987.
Gunst MA, Ackermann D, Zehntner C, et al: ESWL bei Ausgussteinen ohne perkutane reduktion der steinmasse. Verh. Ber. Dtsch. Gscht. Urologie. Berlin: Springer-Verlag, 1987.
Kahnoski RJ, Lingeman JE, Coury TA, et al: Combined percutaneous and extracorporeal shock wave lithotripsy for staghorn calculi: an alternative to anatrophic nephrolithotomy? J Urol 135: 679, 1986.
Littleton RH and Goodman N: ESWL: use of double-J stent. J Urol 138: 143A (abstract), 1987.
Miller K, Bachar R, Hautmann R: PNL/ESWL versus stent/ESWL for the treatment of large renal calculi and staghorn stones: a prospective, randomized study. V World Congress on Endourology and ESWL. Cairo, 1987.
Nagel R and Schuldes H: ESWL grosser Nierensteine mit DJ-Katheter. Clinical Workship on Operative Techniques. Mainz, Germany, 1988.
Rassweiler J, Gumpinger R, Miller K, et al: Multimodal treatment (ESWL and endourology) of complicated renal stone disease. Eur Urol 12: 294, 1986.
Schuldes H, Behrendt V, Bahst-Nickig R, et al: Kontrolle der Nierenfunktion nach ESWL mittels Nierensequenzszintigraphie (NSS) und 131-J-Hippuranclearance. Verh Bericht Dtsch Gscht Urologie. Berlin: Springer-Verlag, 1987.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1988 Springer Science+Business Media New York
About this chapter
Cite this chapter
Sohn, M., Deutz, F.J., Rohrmann, D., Fischer, N., Lutzeyer, W. (1988). Anesthesia-Free ESWL Monotherapy with Double-J Stents versus Percutaneous Nephrostolithotomy and ESWL: A Combined Approach in Staghorn Disease—Preliminary Results of a Prospective, Randomized Study. In: Lingeman, J.E., Newman, D.M. (eds) Shock Wave Lithotripsy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1977-2_18
Download citation
DOI: https://doi.org/10.1007/978-1-4757-1977-2_18
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4757-1979-6
Online ISBN: 978-1-4757-1977-2
eBook Packages: Springer Book Archive