Format

Send to

Choose Destination
J Endourol. 2010 Feb;24(2):219-22. doi: 10.1089/end.2008.0345.

Should percutaneous nephrolithotripsy be considered the primary therapy for lower pole stones?

Author information

1
Department of Urology, Athens Medical Centre, Athens, Greece. npardali@otenet.gr

Abstract

PURPOSE:

The efficacy of percutaneous nephrolithotripsy (PCNL) as a primary therapy for the treatment of lower pole caliceal lithiasis was determined.

MATERIALS AND METHODS:

We reviewed 144 consecutive files of patients, over a period of 10 years, with noncomplicated lower pole calculi, who underwent PCNL after a single unsuccessful session of extracorporeal shockwave lithotripsy (SWL).

RESULTS:

The stone-free rate for stones less than 10 mm was 95%. A 97% rate was accomplished for stones between 11 and 20 mm and a 98% rate for stones larger than 20 mm. PCNL achieved a mean overall stone-free rate of 96.7% after a 3-month follow-up, regardless of stone size. PCNL outclasses SWL, when stratified by stone burden and lower pole location. No significant postoperative complications were encountered.

CONCLUSION:

PCNL is a safe and effective procedure for the management of lower pole caliceal calculi after a single unsuccessful SWL session. This procedure should be considered the primary method for the treatment of lower pole stones.

PMID:
20039823
DOI:
10.1089/end.2008.0345
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center