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Submitted: 16 May 2007 Modified: 22 August 2018
HERDIN Record #: PCHRDPC922447

Management of large renal calculi by extracorporeal shock wave lithotripsy: The Saint Luke's Medical Center Experience.

Egidio P. Elio ,
Allan M. Noel

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Several investigators have reported on clinical experiences with both ESWL monotherapy and combination therapy for large renal calculi. We present an analysis of the management of such stones with ESWL monotherapy using EDAP LT-01 at the Saint Luke's Medical Center. Data of 587 patients with renal calculi of which 201 had a surface area ranging from 4 to 18 cm(2) were reviewed. Results show that most of the patients were rendered stone-free after treatment. The stone-free rates progressively decreased as the stone size increased, but consistently improved with further treatment and after a longer follow-up period. The amount of shock wave energy, the number of treatments and the duration required to attain a stone-free status increased in direct proportion to the stone volume. While the maximum limit of stone size appropriate for ESWL monotherapy remains to be clearly established, the burden of prolonged treatment should be seriously considered in the choice of therapy. (Author)

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Journal of Surgical Specialties
Frequency
Quarterly
Publication Date
April-June 1992
Volume
47
Issue
2
Page(s)
57-59
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Fulltext pdf (Request Document)

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