The role of ESWL in the treatment of calculi with anomalous kidneys.
case_series · Level IV
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Abstract
To evaluate the efficacy of Extracorporeal shock wave lithotripsy (ESWL) in renal anomalies. From 1991 to May 1995. 53 patients with calculi in anomalous kidneys presented to our clinic for treatment with ESWL. Average patient age was 39 years, a range of 6-66 years. These patients (32 male and 21 female) underwent ESWL treatments. ESWL was performed in 27 patients with urolithiasis in duplex system, 18 with horse-shoe kidneys, 4 with unilateral renal agenesis, 2 with pelvic ectopic kidneys, 1 with sigmoid kidney and 1 with L-shaped kidney. Among patients who completed ESWL the rate free of stones was 60.4% and the rate of clinically insignificant residual fragments was 30.2%. No sign of stone disintegration was observed in 2 patients. They underwent open surgery. The shock waves per therapy varied between 811 and 18,101. Double-J stents were placed in 13 patients. Most patients with calculi in anomalous kidneys can be managed primarily with ESWL.
Medical subject headings
- Kidney
- Kidney Calculi
- Lithotripsy