How significant are clinically insignificant residual fragments following lithotripsy?

Current Opinion in Urology

Volumn 15, Issue 2, 2005, Pages 127-131

  Yeh, Hong Tan ^a   Wong, Michael ^a  

^a SINGAPORE GENERAL HOSPITAL   (Singapore)

Author keywords

Clinically insignificant residual fragments; Kidney stones; Shock wave lithotripsy

Indexed keywords

EXTRACORPOREAL LITHOTRIPSY; HUMAN; NEPHROLITHIASIS; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RECURRENT DISEASE; RESIDUE ANALYSIS; REVIEW; RISK FACTOR; TREATMENT OUTCOME; URINARY TRACT OBSTRUCTION;

EID: 15244359465     PISSN: 09630643     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.mou.0000160628.43860.f9     Document Type: Review

References (17)

1. Chaussy C, Brendel W, Schmiedt E. Extracorporeally induced destruction of kidney stones by shock waves. Lancet 1980; 2:1265-1268.
2. Delvecchio FC, Preminger GM. Management of residual stones. Urol Clin North Am 2000; 27:347-354.
3. Rassweiler JJ, Renner C, Chaussy C, Thuroff S. Treatment of renal stones by extracorporeal shockwave lithotripsy: an update. Eur Urol 2001; 39:187-199.
4. Zanetti G, Seveso M, Montanari E, et al. Renal stone fragments following shock wave lithotripsy. J Urol 1997; 158:352-355.
5. Streem SB, Yost A, Mascha E. Clinical implications of clinically insignificant store fragments after extracorporeal shock wave lithotripsy. J Urol 1996; 155:1186-1190.
6. Candau C, Saussine C, Lang H, et al. Natural history of residual renal stone fragments after ESWL. Eur Urol 2000; 37:18-22.
7. Buchholz NP, Meier-Padel S, Rutishauser G. Minor residual fragments after extracorporeal shockwave lithotripsy: spontaneous clearance or risk factor for recurrent stone formation? J Endourol 1997; 11:227-232.
8. Demirkesen O, Yaycioglu O, Onal B, et al. Extracorporeal shockwave lithotripsy for stones in abnormal urinary tracts: analysis of results and comparison with normal urinary tracts. J Endourol 2001; 15:681-685.
9. Afshar K, McLorie G, Papanikolaou F, et al. Outcome of small residual stone fragments following shock wave lithotripsy in children. J Urol 2004; 172:1600-1603. This article emphasized that small residual fragments after ESWL in children are clinically significant.
10. Parr NJ, Ritchie AW, Smith G, et al. Does further extracorporeal lithotripsy promote clearance of small residual fragments? Br J Urol 1991; 68:565-567.
11. Moon YT, Kim SC. Fate of clinically insignificant residual fragments after extracorporeal shock wave lithotripsy with EDAPLT-01 lithotripter. J Endourol 1993; 7:453-456.
12. Pace KT, Tariq N, Dyer SJ, et al. Mechanical percussion, inversion and diuresis for residual lower pole fragments after shock wave lithotripsy: a prospective, single blind, randomized controlled trial. J Urol 2001; 166:2065-2071.
13. Preminger GM, Peterson R, Peters PC, Pak CY. The current role of medical treatment of nephrolithiasis: the impact of improved techniques of stone removal. J Urol 1985; 134:6-10.
14. Cicerello E, Merlo F, Gambaro G, et al. Effect of alkaline citrate therapy on clearance of residual renal stone fragments after extracorporeal shock wave lithotripsy in sterile calcium and infection nephrolithiasis patients. J Urol 1994; 151:5-9.
15. Fine JK, Pak CY, Preminger GM. Effect of medical management and residual fragments on recurrent stone formation following shock wave lithotripsy [discussion 32-33]. J Urol 1995; 153:27-32.
16. Soygur T, Akbay A, Kupeli S. Effect of potassium citrate therapy on stone recurrence and residual fragments after shockwave lithotripsy in lower caliceal calcium oxalate urolithiasis: a randomized controlled trial. J Endourol 2002; 16:149-152.
17. Chow K, Dixon J, Gilpin S, et al. Citrate inhibits growth of residual fragments in an in vitro model of calcium oxalate renal stones. Kidney Int 2004; 65:1724-1730. This in vitro study supported the use of alkaline citrate in the management of residual fragments.