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[Dissolution therapy of struvite calculi with solution G]
M Hosomi1, O Maeda, K Matsumiya
1Department of Urology, Osaka National Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|July 1, 1988
Summary
Solution G effectively dissolved infectious kidney stones in patients, offering a potential alternative to surgical procedures. This treatment showed minimal side effects, making it a promising option for managing large staghorn calculi.
Area of Science:
- Nephrology
- Urology
- Medical Chemistry
Background:
- Infectious kidney stones, particularly large staghorn calculi (>30 mm), pose a significant treatment challenge.
- Current treatment options like percutaneous nephrolithotripsy and extracorporeal shock wave lithotripsy have associated risks and limitations.
Purpose of the Study:
- To evaluate the efficacy and safety of Solution G irrigation for dissolving infectious kidney stones.
- To assess Solution G as a potential primary treatment for large staghorn calculi.
Main Methods:
- Renal pelvic irrigation with Solution G was performed in 6 patients (9 kidneys) with staghorn calculi.
- Patients had calculi larger than 30 mm in diameter.
Main Results:
- Complete dissolution of stones was achieved in 2 kidneys.
- In the remaining kidneys, stones were reduced to fragments that did not cause complications.
- No major side effects or complications were reported during the irrigation procedure.
Conclusions:
- Solution G irrigation is a safe and effective method for dissolving infectious kidney stones.
- This treatment presents a viable alternative, potentially a first-line option, to existing surgical interventions for staghorn calculi.