1999
DOI: 10.1089/end.1999.13.349
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Extracorporeal Shockwave Lithotripsy in Anomalous Kidneys

Abstract: Shockwave lithotripsy is an effective and reliable treatment method in patients with congenital urinary system anomalies, especially when the stones are <2 cm. Patients with ureteral duplication had the overall best stone-free rates. However, patients who have stones > or =3 cm in horseshoe or malrotated kidneys and duplex systems seem to be better candidates for percutaneous nephrolithotomy or open surgery.

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Cited by 48 publications
(17 citation statements)
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“…Sheir et al [9] achieved a success level of 71.4% and Adel R et al [10] had 76.9% success for horseshoe kidney. Kupeli et al [8] reported their success rate for stones smaller than 20 mm in horseshoe kidney as 68%. The success rate in our study was 52% for stones smaller than 20 mm, and this seems relatively low.…”
Section: Discussionmentioning
confidence: 97%
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“…Sheir et al [9] achieved a success level of 71.4% and Adel R et al [10] had 76.9% success for horseshoe kidney. Kupeli et al [8] reported their success rate for stones smaller than 20 mm in horseshoe kidney as 68%. The success rate in our study was 52% for stones smaller than 20 mm, and this seems relatively low.…”
Section: Discussionmentioning
confidence: 97%
“…Before the SWL treatment option period described by Chaussy in 1980 [5], treatment of abnormal kidney stones was only a matter of open surgery or active following. After SWL, stones in abnormal kidneys started to be treated mainly with this method [6][7][8][9][10]. With developing technology, treatments such as percutaneous nephrolithotomy (PCNL) [14], minimal PCNL [15], flexible URS [16] and laparoscopic approaches [17] started to be applied to abnormal kidneys.…”
Section: Discussionmentioning
confidence: 99%
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“…115 Notably in this group, patients with ureteral duplication had the overall best stone-free rates. 116 …”
Section: Congenital Anomaliesmentioning
confidence: 99%
“…However, due to the relative difficulty of accessing the collecting system of a pelvic kidney percutaneously, SWL should be the initial approach to stones in this situation, despite the relatively poor results. Kupeli et al reported a 54% stone-free rate following SWL therapy to stones in pelvic kidneys (27). Patient positioning is a key factor in SWL in pelvic kidneys.…”
Section: Renal Anomaliesmentioning
confidence: 99%