Extracorporeal shock wave lithotripsy as monotherapy for staghorn calculi - Is reduced renal function a relative contraindication?

Khaleel Al-Awadi, Hamdy Abdulhaleem, Adel Al-Tawheed, Elijah O. Kehinde

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Extracorporeal shock wave lithotripsy as monotherapy for staghorn calculus is not without complications. We describe a case in which, due to markedly reduced renal function following lithotripsy for a staghorn calculus, broken fragments Of calculi forming steinstrasse became cemented together to form a solid calcified tube extending from the renal pelvis to the ureteric orifice. This resulted in further loss of kidney function. The patient eventually required nephro-ureterectomy. Extreme care should be taken when using extracorporeal shock wave lithotripsy to treat staghorn calculi in kidneys with markedly diminished function to prevent further loss of function due to treatment.

Original languageEnglish
Pages (from-to)291-293
Number of pages3
JournalScandinavian Journal of Urology and Nephrology
Volume33
Issue number5
DOIs
Publication statusPublished - Jan 1 1999

Keywords

  • Lithotripsy
  • Poor renal function
  • Staghorn calculi
  • Steinstrasse

ASJC Scopus subject areas

  • Nephrology
  • Urology

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