[Extracorporeal lithotripsy of stones in the single kidney]

The authors used shockwave lithotripsy (SWL) in 130 patients with solitary kidney to crush renal calculi. Valid policy in preoperative drainage may result in a significant reduction of the occurrence of postoperative obstructive complications. It was only 11.5%. A valid choice of sparing regimen of crushing kidney and prepelvic ureter calculi help prevent hematomas, a severe complication of early postoperative period. No cases of this complication were seen in the study. A significant renal function failure in early postoperative period was not recorded. A 2.5--5-year follow-up in 21 patients has found that in 61.9% of patients renal function recovered or remained stable, in 38.1% of patients renal function declined. This was due to deterioration of the underlying disease (chronic pyelonephritis, frequent recurrences of lithogenesis).