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[Electropiezolithotripsy in anomalous kidneys]
Abstract:
The results of electropiezolithotripsy (EPL) are presented for 54 patients with anomalous kidneys. Nineteen of them had a shield kidney, 12 had double kidney, 9 showed different types of dystopia, L- and S-shaped kidneys were in 3 and 1 patient, respectively, 2 patients had a sponge kidney. Anomalies of the upper urinary tracts themselves are not a contraindication to extracorporeal EPL under satisfactory urine passage distally from the calculus. EPL to treat urolithiasis in a sponge kidney is recommended in the concrement location in the pelvis or calyces. The attempts of EPL in parenchymal stones resulted in massive macrohematuria and pyelonephritic attacks.