Extracorporeal lithotripsy and combined surgical procedures in the treatment of renoureteral stone disease: Our experience with 2,955 patients

Patrizio Rigatti, Francesco Francesca, Francesco Montorsi, Paolo Consonni, Giorgio Guazzoni, Valerio Di Girolamo

Research output: Contribution to journalArticlepeer-review

Abstract

From May, 1985 to August, 1987, a total of 2,955 patients with renoureteral stone disease presented at our institution and were treated either by extracorporeal lithotripsy alone or combined with percutaneous nephrolithotomy, ureteroscopy, or open surgery. Seventy-three percent of patients were stone-free at the 3 month follow-up date while 22% presented with negative urine culture and small (less than 5 mm) asymptomatic fragments deemed susceptible to spontaneous discharge. The rate of major complications was extremely low (sepsis, 0.03% and major renal bleeding, 1.55%). The application of this multimodal therapeutic strategy allowed successful treatment in almost every case of renoureteral lithiasis with minor iatrogenic damage to the renal parenchyma.

Original languageEnglish
Pages (from-to)765-774
Number of pages10
JournalWorld Journal of Surgery
Volume13
Issue number6
DOIs
Publication statusPublished - Nov 1989

ASJC Scopus subject areas

  • Surgery

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