Precocious puberty in the girls was usually of idiopathic origin when it presented with breast development only and at age older than 6 years. Congenital adrenal hyperplasia and hypothyroidism could represent important causes for precocious puberty in our community.
— 185 patients with ureteral stones were treated with ESWL (118 with lumbar ureteral stones, 63 pelvic, 4 sacroiliac). 182 patients (98.3%) were treated with ESWL in-situ by means of a Dornier MFL-5000 lithotriptor. Stone size varied from 0.6 to 1.4 cm (mean 0.9 cm); 145 patients (86.9%) were stone-free after one treatment. The re-treatment rate was 13% for lumbar ureteral stones, 25% for sacroiliac and 12.5% for pelvic stones. We report no complications. 11 patients (6.04%) had to be treated subsequently with ureteroscopic fragmentation and 4 (2.19%) with open surgery. We conclude that in-situ ESWL is also a safe and effective treatment for distal ureteral stones, for which ureteroscopy is also a successful technique but with higher morbidity, and should therefore be performed in case of failure of ESWL. We have more chance of success if the in-situ treatment is performed as soon as possible.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.