Renal pelvic stones: Choosing shock wave lithotripsy or percutaneous nephrolithotomy

Robert Marcovich, Arthur D. Smith

Research output: Contribution to journalReview article

11 Scopus citations

Abstract

Introduction of minimally invasive techniques has revolutionized the surgical management of renal calculi. Extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy are now both well-established procedures. Each modality has advantages and disadvantages, and the application of each should be based on well-defined factors. These variables include stone factors such as number, size, and composition; factors related to the stone's environment, including the stone's location, spatial anatomy of the renal collecting system, presence of hydronephrosis, and other anatomic variables, such as the presence of calyceal diverticula and renal anomalies; and clinical or patient factors like morbid obesity, the presence of a solitary kidney, and renal insufficiency. The morbidity of each procedure in relation to its efficacy should be taken in to account. This article will review current knowledge and suggest an algorithm for the rational management of renal calculi with shock wave lithotripsy and percutaneous nephrolithotomy.

Original languageEnglish (US)
Pages (from-to)195-207
Number of pages13
JournalInternational Braz J Urol
Volume29
Issue number3
DOIs
StatePublished - 2003

Keywords

  • Kidney
  • Kidney calculi
  • Lithotripsy
  • Nephrolithotomy
  • Percutaneous
  • Shock wave lithotripsy

ASJC Scopus subject areas

  • Urology

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