The contemporary management of renal and ureteric calculi

Galvin, David; Pearle, Margaret S.

doi:10.1111/j.1464-410x.2006.06514.x

Cited by 124 publications

(90 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While staghorn is the extreme of large stone size, any stone over 2 cm is associated with an inferior outcome when treated with SWL [8][9][10][11] . Larger stones usually require more procedures and have increased complications such as obstruction from steinstrasse or larger fragment passage.…”

Section: Patient Selectionmentioning

confidence: 99%

Strategies to optimize shock wave lithotripsy outcome: Patient selection and treatment parameters

Semins

Matlaga

2015

WJN

View full text Add to dashboard Cite

Shock wave lithotripsy (SWL) was introduced in 1980, modernizing the treatment of upper urinary tract stones, and quickly became the most commonly utilized technique to treat kidney stones. Over the past 5-10 years, however, use of SWL has been declining because it is not as reliably effective as more modern technology. SWL success rates vary considerably and there is abundant literature predicting outcome based on patient-and stone-specific parameters. Herein we discuss the ways to optimize SWL outcomes by reviewing proper patient selection utilizing stone characteristics and patient features. Stone size, number, location, density, composition, and patient body habitus and renal anatomy are all discussed. We also review the technical parameters during SWL that can be controlled to improve results further, including type of anesthesia, coupling, shock wave rate, focal zones, pressures, and active monitoring. Following these basic principles and selection criteria will help maximize success rate. Core tip: Shock wave lithotripsy is a commonly utilized technology for kidney stone treatment that has declining efficacy over the past decade. The paper outlines how to optimize outcomes with proper patient selection and control of treatment parameters.

show abstract

Section: Patient Selectionmentioning

confidence: 99%

Strategies to optimize shock wave lithotripsy outcome: Patient selection and treatment parameters

Semins

Matlaga

2015

WJN

View full text Add to dashboard Cite

show abstract

“…On the other hand, Singh et al (22) found that the rate of complete stone-free status was 85.7% for RIRS treatment and 54.3% for ESWL treatment in lower pole stones with sizes between 10 mm and 20 mm and they observed that RIRS was markedly superior. There are other studies that report the superiority of RIRS over ESWL in lower pole stones (23)(24)(25). In an examination of these studies, it was concluded that RIRS is superior to ESWL with respect to providing complete stonefree status as the size of the stone increases; it gives rise to less need for additional intervention; and morbidity rates are higher than in ESWL, but this is not statistically significant.…”

Section: Discussionmentioning

confidence: 92%

Retrograde Intrarenal Surgery

Cebeci¹,

Özkan²,

Kocaarslan³

2015

JAREM

View full text Add to dashboard Cite

Urinary stone disease is a common health problem in the community. In the last two decades, percutaneous nephrolithotomy (PNL), extracorporeal shock wave lithotripsy (ESWL), and retrograde intrarenal surgery (RIRS) have become popular as minimally invasive methods. The European Association of Urology 2014 urinary stones guideline recommends PNL as the first line of treatment for kidney stones above 20 mm. ESWL remains the first choice for stones of <1 cm within the renal pelvis and upper or middle calices. For kidney stones between 10 to 20 mm, the location and movement of the stone, stone type, calyx anatomy, and patients status contribute to the choice of treatment. RIRS in combination with holmium YAG laser is effective and safe. Initially, RIRS was offered for was lower calyceal stones, multiple stones, post-ESWL failure, comorbid illnesses, reduction in the diameter of development of surgical experience ureteroscopy, the development of optics providing better visibility, and the diversification of the equipment. At present, RIRS has become an alternative treatment modality to other minimally invasive therapy. It is thought that advances in technology will lead to more flexible instruments and surgical equipment for RIRS therapy. (JAREM 2015; 5: 85-8)

show abstract

“…In Australia, the annual incidence of stone disease is estimated to affect 131 per 100,000 population [1]. Furthermore, in those with a history of upper urinary tract stones, studies have shown a recurrence rate of 50% within the subsequent 5-10 years [2].…”

Section: Introductionmentioning

confidence: 99%

“…The gender difference has always been at least partly attributed to differences in excretory function, with men excreting more oxalate in the urine, and women more citrate, which is protective against stone formation [2]. In addition, increased animal protein intake has been associated with higher rates of calcium oxalate stone formation, with a 5-year randomised trial revealing a protective effect of reduced animal protein and salt intake when compared with a low-calcium diet in recurrent stone formers [4].…”

Section: Introductionmentioning

confidence: 99%

Changes in upper urinary tract stone composition in Australia over the past 30 years

Lee

Bariol

2013

BJU International

View full text Add to dashboard Cite

Objectives To investigate upper urinary tract stone composition rates in Australia To investigate changes in stone composition in Australia over the past 30 years Patients and Methods The Institute for Clinical Pathology and Medical Research (ICPMR) database was used to obtain – stone composition statistics from 2009–2011 Historical comparisons of stone composition rates were obtained from previous Australian studies; Rofe; 1981, and Baker; 1993 for epidemiological data from the 1970s and 1980s respectively. Stone composition data was separated into gender and age‐groups Results From the 791 stones analysed between 2009 and 2011, calcium oxalate remains the dominant type accounting for 64% of stones in our dataset, which compares to 68% from both the 1970s and 1980s. Uric acid stones contributed 16% of contemporary stone compositions, comparable to 16% in the 1970s and 17% in the 1980s. Struvite stones showed a decreasing trend from 14% in the 1970s, to 12% in the 1980s and 7% in the current data. For struvite stones, while the female 21–30 age‐group was the most prolific for struvite stone formation in the 1980s, the peak group in contemporaneous records is 61–70 year‐old men. Conclusion Stone composition in Australia has remained relatively static over the past 30 years. Modifications in diet and body habitus have not resulted in significant changes in the proportion of uric acid and calcium oxalate stones detected. The decreasing trend in the proportion of struvite stones most likely reflects improved management of urinary tract infections within the Australian population.

show abstract

The contemporary management of renal and ureteric calculi

Abstract: I have put a mini‐review into this section this month; this is from one of the leading experts in this field, and gives an up‐to‐date overview of the contemporary management of renal and ureteric calculi.

Cited by 124 publications

References 59 publications

Strategies to optimize shock wave lithotripsy outcome: Patient selection and treatment parameters

Strategies to optimize shock wave lithotripsy outcome: Patient selection and treatment parameters

Retrograde Intrarenal Surgery

Changes in upper urinary tract stone composition in Australia over the past 30 years

Contact Info

Product

Resources

About