Renal Stones

El‐Husseiny, Tamer; Papatsoris, Athanasios; Masood, Junaid; Buchholz, Noor

doi:10.1007/978-1-84800-362-0_39

Cited by 3 publications

(4 citation statements)

References 124 publications

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“…Accumulation of stone fragments in the ureter is deemed to be caused by the vesicoureteral obstruction or the ureteral stenosis. One of the reasons of steinstrasse formation is ESWL applied for the large stones (>2.5 cm for kidney, and >1.5 cm for ureter) (5) . Use of high energy at the beginning of the ESWL process also leads to steinstrasse formation.…”

Section: Dıscussıonmentioning

confidence: 99%

The Development of Spontaneous Steinstrasse in Patient With Nephrocalcinosis: Case Report

Yücel¹,

Kızılkan²

2017

Terh

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Development of the steinstrasse is usually seen in patients with a history of extracorporeal shock wave lithotripsy. In patients who were followed up with the diagnosis of nephrocalcinosis development of steinstrasse is rare. In this study, spontaneous steinstrasse formation and treatment in 30-year-old male patient with idiopatic medullary nephrocalcinosis who had no history of extracorporeal shock wave lithotripsy, is reported. Keywords: Steinstrasse, nephrocalsinosis, treatment ÖZTaş yolu gelişimi genellikle beden dışı şok dalga tedavisi öyküsü olan hastalarda görül-mektedir. Nefrokalsinozis tanısıyla takip edilen hastalarda spontan taş yolu gelişimi oldukça enderdir. Bu çalışmada, 30 yaşında etiyolojisi bilinmeyen, beden dışı şok dalga tedavisi öyküsü olmayan medüller nefrokalsinozisli erkek hastada spontan taş yolu oluşumu ve tedavisi sunulmaktadır.

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Section: Dıscussıonmentioning

confidence: 99%

The Development of Spontaneous Steinstrasse in Patient With Nephrocalcinosis: Case Report

Yücel¹,

Kızılkan²

2017

Terh

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“…Even if the urine is found to be sterile preoperatively, acute infectious complications can occur, as bacteria are sometimes harboured inside infectious stones [37] . Antibiotic prophylaxis is recommended especially for infection-related staghorn stones and struvite calculi, and should be continued for at least 4 days [2] .…”

Section: Contraindicationsmentioning

confidence: 99%

“…The first lithotripter for the treatment of human kidney stones, the HM1 (Human Model 1, Dornier, Germany; now Dornier MedTech America, Inc., Kennesaw, GA, USA), was introduced in 1980 by Chaussy et al [1] . This is a classical example of a ‘spin-off’ from a military development, as in this case observations from the Dornier Star Fighter programme were translated into the development of this innovative medical device [2] .…”

Section: Introduction and Historical Backgroundmentioning

confidence: 99%

Extracorporeal shock wave lithotripsy: What is new?

Bach

Karaolides

Buchholz

2012

Arab Journal of Urology

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ObjectivesThirty years after its introduction, extracorporeal shockwave lithotripsy (ESWL) is still first-line treatment for more than half of all urinary tract stones, but machines and treatment strategies have significantly developed over time. In this review, we summarise the latest knowledge about the clinically important aspects of ESWL.MethodsWe searched PubMed to identify relevant reports and the latest European Association of Urology guidelines, and standard urological textbooks were consulted.ResultsNew technical developments include: Twin-head and tandem-pulse shock-wave generators; wide-focus, low-pressure systems; optimised coupling; and automated location and acoustic tracking systems. Indications have been refined, making possible the identification of patients in whom ESWL treatment is likely to fail. By lowering the shock-wave rate, improving coupling, applying abdominal compression, power ‘ramping’ and postoperative medical expulsion therapy, treatment protocols have been optimised.ConclusionsPromising new technical developments are under development, with the potential to increase the stone-free rate after ESWL. For optimal results, the refined indications need to be respected and optimised treatment protocols should be applied.

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“…Siamo nel 1980 a Monaco di Baviera quando Chaussy e i suoi collaboratori svilupparono per la Dornier, il primo litotritore per il trattamento dei calcoli renali (HM1) dopo uno studio durato 6 anni (11). Questo ha rappresentato una classica applicazione di studi militari e, nella fattispecie aereonautici (12), in campo medico e si può presumere che lo stesso sia accaduto per lo sviluppo delle fonti di energia dei litotritori endoscopici. Da quel momento, nonostante le innovazioni della giovane endourologia e la solidità della vecchia chirurgia “a cielo aperto”, queste vennero offuscate da quella che rimase ed è tuttora la prima linea di trattamento della calcolosi delle vie escretrici (13).…”

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PCNL: what's changed?

Bianchi

Rosa

2014

Urologia

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PCNL is a endourological technique for the treatment of kidney stones disease. It's aim is to achieve the complete clearance via a percutaneous access. This technique, as we know it today, was developed by Johanson and Fernstrom in 1976 who used the technological advances in percutaneous fluoroscopy to get the percutaneous access. Following the application of various sources of energy for the fragmentation of the calculi such as ultrasound energy, there was the worldwide diffusion of PCNL thanks to Alken and Marbergen in Europe, Segura and Clayman in the USA. Despite in the early '80s the PCNL lost the initial impulse in favor of the SWL, in the '90s, it revived a second golden age through the application of emerging technologies such as computed tomography, techniques of obtaining the percutaneous access, flexible instrumentation, laser energy and, more recently, robotic surgery, and virtual reality. All of these contributed to bring the PCNL on the road up of the mini-invasiveness to the latest development of Microperc. The Microperc allows the treatment of stones of 2 cm in diameter also, obtaining the access under ultrasound, fluoroscopic and direct vision guidance. A complete system including micor-optics, laser fiber and irrigation system is then inserted into the same needle with a diameter of 4.85, 8 or 10 Fr The CROES used logistic developments by creating a global network and a multi-center database. The PCNL study, concluded in 2009, has led to the publication of as many as 27 scientific papers on this subject.

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Renal Stones

Cited by 3 publications

References 124 publications

The Development of Spontaneous Steinstrasse in Patient With Nephrocalcinosis: Case Report

The Development of Spontaneous Steinstrasse in Patient With Nephrocalcinosis: Case Report

Extracorporeal shock wave lithotripsy: What is new?

PCNL: what's changed?

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