Renal calculi burden – percutaneous lithitripsy or retrograde surgery?

Czech version

Authors: MUDr. Vítězslav Vít
Authors‘ workplace: Urologická klinika FN Brno
Published in: Urol List 2008; 6(3): 31-37

Overview

In this article the author evaluates various modalities for management of staghorn renal calculi or massive stone burden. He discusses advantages and potential complications of these methods in terms of stone removal and assesses the options of less standard approaches – retrograde intrarenal surgery (RIRS). He evaluates the efficiency of stone removal depending on its localization in kidney and its size.

According to published data it is obvious that retrograde intrarenal surgery represents prospective method of choice for renal calculi treatment. This method is minimally invasive and can achieve a significant rate of stone fragmentation. The simultaneous combination of outpatient RIRS and extracorporeal lithotripsy (ESWL) in one session can lead to significant fragmentation (even stone burden fragmentation) during one intervention, possibly requiring the second session (URS, ESWL or both) with minimal morbidity.

Key words:
nephrolithiasis, percutaneous lithotripsy, RIRS

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Article was published in

Urological Journal

2008 Issue 3