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Percutaneous stone manipulation

P Alken, G Hutschenreiter, R Günther

    The Journal of Urology
    |April 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    This study shows percutaneous stone manipulation effectively removes obstructing pelvic stones in 34 patients. Ultrasound disintegration and extraction achieved high clearance rates with minimal complications.

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    Area of Science:

    • Urology
    • Nephrology
    • Minimally Invasive Surgery

    Background:

    • Obstructing pelvic stones pose a significant clinical challenge.
    • Percutaneous stone manipulation offers a minimally invasive approach for stone removal.

    Purpose of the Study:

    • To evaluate the efficacy and safety of percutaneous stone manipulation using ultrasound disintegration, extraction, or chemolysis.
    • To assess stone clearance rates in patients with and without pre-established nephrostomy.

    Main Methods:

    • Percutaneous stone manipulation was performed on 34 patients.
    • Procedures included ultrasound disintegration, extraction, or chemolysis.
    • Patients were divided into groups with operatively established nephrostomy (15) or percutaneous nephrostomy (19).

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    Main Results:

    • Complete stone clearance was achieved in 19 of 20 stones after percutaneous nephrostomy.
    • Stone clearance was observed in 8 of 16 stones with operatively established nephrostomy.
    • The primary goal of removing obstructing pelvic stones was met in all cases.
    • No significant side effects like back pressure damage or persistent infection were noted.

    Conclusions:

    • Percutaneous stone manipulation is an effective method for treating obstructing pelvic stones.
    • The technique demonstrates a high success rate with a favorable safety profile.
    • Ultrasound disintegration and extraction are viable options for percutaneous nephrolithotomy.