The role of ESWL in the treatment of calculi with anomalous kidneys

Semerci B., Verit A., NAZLI O., Ilbey O., Ozyurt C., Cikili N.

European Urology, vol.31, no.3, pp.302-304, 1997 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 31 Issue: 3
  • Publication Date: 1997
  • Doi Number: 10.1159/000474472
  • Journal Name: European Urology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.302-304
  • Keywords: Duplex kidney, Ectopic kidney, Extracorporeal shock wave lithotripsy, Horse-shoe kidney, L-shaped kidney, Renal agenesis, Sigmoid kidney, Urolithiasis
  • Bezmialem Vakıf University Affiliated: No

Abstract

Objective: To evaluate the efficacy of Extracorporeal shock wave lithotripsy (ESWL) in renal anomalies. Material and Methods: From 1991 to May 1995, 53 patients with calculi in anomalous kidneys presented to our clinic for treatment with ESWL. Average patient age was 39 years, a range of 6-66 years. These patients (32 male and 21 female) underwent ESWL treatments. ESWL was performed in 27 patients with urolithiasis in duplex system, 18 with horse-shoe kidneys, 4 with unilateral renal agenesis, 2 with pelvic ectopic kidneys, 1 with sigmoid kidney and 1 with L-shaped kidney. Results: Among patients who completed ESWL the rate free of stones was 60.4% and the rate of clinically insignificant residual fragments was 30.2%. No sign of stone disintegration was observed in 2 patients. They underwent open surgery. The shock waves per therapy varied between 811 and 18,101. Double-J stents were placed in 13 patients. Conclusion: Most patients with calculi in anomalous kidneys can be managed primarily with ESWL.