Residual Stones after Percutaneous Nephrolithotomy

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Residual Stones after Percutaneous Nephrolithotomy

Current EAU guide recommend the PCNL as the gold standard procedure for stones larger than 2 cm and stones larger than 1 cm if in the lower calyx in patients with unfavorable factors for SWL. Residual fragments are commonly seen after both, ESWL and after intracorporeal lithotripsy. The incidence of residual stones after PCNL ranges from 10% to 60%. But some of these studies with high success r...

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Residual fragments after percutaneous nephrolithotomy.

Clinically insignificant residual fragments (CIRFs) are described as asymptomatic, noninfectious and nonobstructive stone fragments (≤4 mm) remaining in the urinary system after the last session of any intervention (ESWL, URS or PCNL) for urinary stones. Their insignificance is questionable since CIRFs could eventually become significant, as their presence may result in recurrent stone growth a...

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Extracorporeal Shock Wave Lithotripsy for Management of Residual Stones after Ureterolithotripsy versus Mini-Percutaneous Nephrolithotomy: A Retrospective Study

PURPOSE To compare the efficacy of extracorporeal shock wave lithotripsy in managing residual stones after ureterolithotripsy and mini-percutaneous nephrolithotomy. MATERIALS AND METHODS A retrospective study was carried out of 71 patients with proximal urinary tract stones (greater than 10 mm) who underwent ureterolithotripsy or mini-percutaneous nephrolithotomy at a single institution from ...

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Evaluation of Residual Stones following Percutaneous Nephrostolithotomy

Percutaneous nephrostolithotomy (PCNL) constitutes first line therapy for large and complex renal calculi. However, retained calculi generated by intracorporeal lithotripsy remain a concern because of their potential for growth and future symptoms. Liberal use of flexible nephroscopy identifies residual calculi and increases stone free rates. However, historically the sensitivity of radiographi...

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Management of large renal stones: laparoscopic pyelolithotomy versus percutaneous nephrolithotomy

BACKGROUND Percutaneous nephrolithotomy (PCNL) remains the standard procedure for large (≥2 cm) renal calculi; however, laparoscopic pyelolithotomy (LPL) can be used as an alternative management procedure. The aim of present study was to compare LPL and PCNL in terms of efficacy and safety for the management of large renal pelvic stones. METHODS A literature search was performed in Jan 2016 u...

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ژورنال

عنوان ژورنال: Medical & Surgical Urology

سال: 2013

ISSN: 2168-9857

DOI: 10.4172/2168-9857.1000115