PTU - Polskie Towarzystwo Urologiczne
list of articles:

Article published in Urologia Polska 1997/50/3.


Tomasz Demkow, Philip Clark, Andrzej Borkowski
Klinika Nowotworów Układu Moczowego Instytutu Onkologii w Warszawie
Kierownik Kliniki: prof. dr hab med. G. Madej
Oddział Urologii The General Infirmary, Leeds (Anglia)
Konsultant Urolog: Ph. Clark FRCS


kidney staghorn calculi treatment ESWL


Introduction. The treatment of the kidney staghorn calculi excent of new
surgical technics, remains controversial ESWL with addition of double J stent
is one these technics.
Objective, material and methods. The influence on results of ESWL
treatment of: stone size, recurrent nature of calculi, stone composition, dilatation
of upper urinary tract and stone location in the pelvico-calyceal system have
been estimated.
From 1988 to 1991 58 patients with partial and complete staghorn calculi
were treated by Wolf Piezolith 2300 lithotriptor at Yorkshire Lithotriptor Center
in Leeds.
Results. Stone free rate in the group with recurrent staghorn calculi was
57,9% and with primary calculi 85,4% and in the group with dilatated upper
urinar tract was 62,5% and non-dilatated group 86,1%. Urinary tract infection
decreased stone free rate, in the group with infection stone free rate was 74,5%
and in the group with no infection 88,9%. The most fre±uent localization of
the remnant stones was the lower pole of the kidney.
Conclusions. Dilatation of the pelvico-calyceal system, recurrent nature of
calculi, infection of urinary tract, stone location in calyces were bad prognostic


  1. [1] Amiel, J. A., Peyrottes, A. Y., Touabi K, Benizri EJ., Toubol, ].: Piezo-
  2. electric monotherapy (EDAP LT-01) for partial or total staghorn stones and large
  3. nonstaghorn renal calculi. J. E. Lingeman and D. M. Newman (Eds): Shock
  4. Wave Lithotripsy State of Art New York, Plenum Press, 1988.
  5. [2] Beck, E. M., Robert, A., Riehle, J. R.: The fate of residual fragments after
  6. extracorporeal wave lithotripsy monotherapy of infection stones. J. Urol., 1991,
  7. 145, 6.
  8. [3] Chaussy, C. G., Fuchs, C. F.: Current state and future developments ofnoni-
  9. nvasive treatment of human urinary stones with extracorporeal shock wave litho-
  10. tripsy. J. Urol. 1989,141,182.
  11. [4] Demkow, T., Clark, P, Meffan, P, Borkowski, A.: Leczenie kamicy odle-
  12. wowej nerek metoda ESWL z użyciem cewnika podwójnie zagiętego. Urol. Pol.,
  13. 1993, 4, 287.
  14. [5] Fuchs, G. ]., Chaussy, C. G.: Extracorporeal shock wave lithotripsy for sta-
  15. ghorn stones: reassessment of our treatment strategy. World J. Urol., 1987, 5, 237.
  16. [6] Fuchs, G., Fuchs, A., Royce, P. L., Stenzel, A., Chaussy, C: Staghorn
  17. stones treatment with extracorporeal shock wave lithotripsy: the fate of residual
  18. stones. Shock Wave Lithotripsy State of Art New York. Plenum Press, 1988.
  19. [7] Fuchs, G., Chaussy, C. G., Royce, P. L.: Staghorn stones: emerging treat-
  20. ment strategies. Endourology, 1987, 2, 1.
  21. [8] Graff, ]., Diederichs, W., Schulze, H.: Long term follow-up in 1.000 extra-
  22. corporeal shock wave lithotripsy patients.). Urol., 1988, 140, 479.
  23. [9] Holden, D., Rao, P: Management of staghorn stones using a Combination of
  24. lithotripsy percutaneus nephrolithotomy and solution R irrigation. Br. J. Urol.
  25. 1991, 67,13.
  26. [10] Jankins, A. D.: Is extracorporeal shock wave lithotripsy monotherapy a rational
  27. approach to large renal calculi? Shock Wave Lithotripsy State of Art New York,
  28. Plenum Press, 1988.
  29. [11] Kahnoski, P, Lingeman, J. E., Coury, T., Steele, R., Mosbaugh, P: Com-
  30. bined. Percutaneous and ext'racorporeal shock wave lithotripsy for staghorn calcu-
  31. li: an alternative to anatrophic nephrolithotomy. J. Urol., 1986, 135, 679.
  32. [12] Lingeman, J. E.: Current concepts in relaiwe efficacy of Percutaneous nephroli-
  33. thotomy and extmcorporeal shock wave lithotripsy. World J. Urol., 1987, 5, 229.
  34. [13] Michaels, E. K, Fowler, J. E.: Eztracorporeal shock wave lithotripsy for stru-
  35. vite renal calculi: prospectwe study with extended follow-up. J. Urol., 1991, 146,
  36. 728.
  37. [14] Resnik, M., Boyce, W.: Bilateral staghorn calculi-patient eualuation and ma-
  38. nagement. J. Urol., 1980, 1 23, 338.
  39. [15] Ro¶ciszewski, A., Royce, P.; Staghorn stone treatment with ESWL: the fate of
  40. residual stones. J. Urol., 1987, 137, 185.
  41. [16] Schultz, E., Hengst, E., Brundig, P.: Distubed urinary transport in thepehi-
  42. calyceal system in calcium-oxalate stone patients. Urol. Res., 1987, 15, 109.