Extracorporeal shock wave lithotripsy in the urinary tract in patients with one kidney

Abstract

Extracorporeal Shock Waves Lithotripsy (ESWL) is a method of choice in the treatment of lithiasis. Surgical treatment is reduced to minimum, which in our case means 1-2%. Contraindications for using this method are: blood coagulation disorders, manifest tuberculosis, pregnancy, overobesity. Thanks to appropriate indications and technique which is used in an adequate way as well as to various endurological manipulations, removal of a stone by this method is safe, trauma is minimised, which is very important for patients with one kidney. During the last three years, usually in hospital conditions, 57 patients were treated in this way. Removal of a stone was performed by Extracorporeal Shock Waves Lithotripsy as mono therapy in 30 (53%) patients; Extracorporeal Shock Waves Lithotripsy by using Double-J catheter in 16 (28%) patients; Extracorporeal Lithotripsy with urine derivation by percutaneous nephrostome in 11 (19%) patients. Endurological methods were used in 27 patients. Disintegration of stone was performed in the proper way. Full success was reached. Two patients had incrustation of ureteral catheter which had to be removed by surgery. In two other patients with inferior function of one kidney, after brief obstruction, haemodialisis was performed. Our results confirm that this method is nonaggressive, technically perfect for disintegration of urineorgans stone on all levels, followed by small complications which are often solved by endoscopic manipulations.