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Treatment of renal stones in a solitary functioning kidney with extracorporeal shock wave lithotripsy
G Karalezli1, Y Z Müftüoglu, K Sarica
1Department of Urology, Ibn-i Sina Hospital, University of Ankara, Medical School, Turkey.
Abstract:
Forty extracorporeal shock wave lithotripsy (ESWL) sessions were performed in the treatment of 36 stones in 22 solitary functioning kidneys between October 1990 and October 1991. We inserted a double-J catheter in all patients preoperatively and no serious obstruction such as stone street formation was observed after treatments. Following ESWL therapy, at the end of 3 months follow-up, 14 patients (63.6%) were completely stone free while in 5 patients ESWL therapy was unsuccessful. ESWL became the treatment of choice for stones in solitary kidneys as a result of its highly effective, safe and encouraging outcome.