Journal of the Chinese Medical Association
Volume 71, Issue 10 , Pages 496-501 , October 2008

Predictive Factors of Lower Calyceal Stone Clearance After Extracorporeal Shockwave Lithotripsy (ESWL): The Impact of Radiological Anatomy

  • Chih-Chieh Lin

      Affiliations

    • Division of Urology, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • ,
  • Yen-Shen Hsu

      Affiliations

    • Division of Urology, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • Department of Urology, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr Yen-Shen Hsu, Division of Urology, Department of Surgery, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C.
    • ,
  • Kuang-Kuo Chen

      Affiliations

    • Division of Urology, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • Department of Urology, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.

Received 7 August 2008 ,Accepted 2 September 2008.

References 

  1. Tiselius HG , Ackermann D , Alken P , Buck C , Conort P , Gallucci M . Guidelines on urolithiasis . In: Guidelines of the EAU . Arnhem, The Netherlands: European Association of Urology; 2001;
  2. Clayman RV , McClennan BL , Garvin TJ , Denstedt JD . Lithostar: an electromagnetic acoustic shock wave unit for extracorporeal lithotripsy . J Endourol . 1989;3:307–310
  3. Ruggera L , Beltrami P , Ballario R , Cavalleri S , Cazzoletti L , Artibani W . Impact of anatomical pyelocalyceal topography in the treatment of renal lower calyces stones with extracorporeal shock wave lithotripsy . Int J Urol . 2005;12:525–532
  4. Dretler SP . Stone fragility: a new therapeutic distinction . J Urol . 1988;139:1124–1127
  5. Gerber R , Studer UE , Danuser H . Is newer always better? A comparative study of 3 lithotriptor generations . J Urol . 2005;173:2013–2016
  6. Graber SF , Danuser H , Hochreiter WW , Studer UE . A prospective randomized trial comparing 2 lithotriptors for stone disintegration and induced renal trauma . J Urol . 2003;169:54–57
  7. Portis AJ , Yan Y , Pattaras JG , Andreoni C , Moore R , Clayman RV . Matched pair analysis of shock wave lithotripsy effectiveness for comparison of lithotriptors . J Urol . 2003;169:58–62
  8. Schulz E , Hengst E , Brundig P , Haerting R , Pirlich W , Gunther H . Disturbed urinary transport in the pelvi-calyceal system in calcium-oxalate stone patients . Urol Res . 1987;15:109–113
  9. Lingeman JE , Siegel YI , Steele B , Nyhuis AW , Woods JR . Management of lower pole nephrolithiasis: a critical analysis . J Urol . 1994;151:663–667
  10. Sampaio FJB , Aragao AHM . Inferior pole collecting system anatomy: its probable role in extracorporeal shock wave lithotripsy . J Urol . 1992;147:322–324
  11. Elbahnasy AM, Clayman RV, Shalhav AL, Hoenig DM, Chandhoke P, Lingeman JE, et al  Lower-pole caliceal stone clearance after shockwave lithotripsy, percutaneous nephrostolithotomy, and flexible ureteroscopy: impact of radiographic spatial anatomy . J Endourol . 1998;12:113–119
  12. Bagley DH , Rittenberg MH . Intrarenal dimensions: guidelines for flexible ureteropyeloscopes . Surg Endosc . 1987;1:119–121
  13. Paik ML , Wainstein MA , Spirnak JP , Hampel N , Resnick MI . Current indications for open stone surgery in the treatment of renal and ureteral calculi . J Urol . 1998;159:374–379
  14. Obek C, Onal B, Kantay K, Kalkan M, Yalçin V, Oner A, et al  The efficacy of extracorporeal shock wave lithotripsy for isolated lower pole calculi compared with isolated middle and upper caliceal calculi . J Urol . 2001;166:2081–2084
  15. Turna B, Ekren F, Nazli O, Akbay K, Altay B, Ozyurt C, et al. Comparative results of shockwave lithotripsy for renal calculi in upper, middle, and lower calices . J Endourol . 2007;21:951–956
  16. Albala DM, Assimos DG, Clayman RV, Denstedt JD, Grasso M, Gutierrez-Aceves J, et al  Lower pole I: a prospective randomized trial of extracorporeal shock wave lithotripsy and percutaneous nephrostolithotomy for lower pole nephrolithiasis— initial results . J Urol . 2001;166:2072–2080
  17. Pearle MS, Lingeman JE, Leveillee R, Kuo R, Preminger GM, Nadler RB, et al  Prospective, randomized trial comparing shock wave lithotripsy and ureteroscopy for lower pole caliceal calculi 1 cm or less . J Urol . 2005;173:2005–2009
  18. Elbahnasy AM, Shalhav AL, Hoenig DM, Elashry OM, Smith DS, McDougall EM, et al. Lower caliceal stone clearance after shock wave lithotripsy or ureteroscopy: the impact of lower pole radiographic anatomy . J Urol . 1998;159:676–682
  19. Sumio Y, Mimata H, Tasaki Y, Ohno H, Hoshino T, Nomura T, et al. Predictors of lower pole renal stone clearance after extracorporeal shock wave lithotripsy . J Urol . 2002;168:1344–1347
  20. Sorensen CM , Chandhoke PS . Is lower pole caliceal anatomy predictive of extracorporeal shock wave lithotripsy success for primary lower pole kidney stones? . J Urol . 2002;168:2377–2382
  21. Ghoneim IA , Ziada AM , Elkatib SE . Predictive factors of lower calyceal stone clearance after extracorporeal shockwave lithotripsy (ESWL): a focus on the infundibulopelvic anatomy . Eur Urol . 2005;48:296–302
  22. Juan YS , Chuang SM , Wu WJ , Shen JT , Wang CJ , Huang CH . Impact of lower pole anatomy on stone clearance after shock wave lithotripsy . Kaohsiung J Med Sci . 2005;21:358–364
  23. Madbouly K , Sheir KZ , Elsobky E . Impact of lower pole renal anatomy on stone clearance after shock wave lithotripsy: fact or fiction? . J Urol . 2001;165:1415–1418
  24. Danuser H , Müller R , Descoeudres B , Dobry E , Studer UE . Extracorporeal shock wave lithotripsy of lower calyx calculi: how much is treatment outcome influenced by the anatomy of the collecting system? . Eur Urol . 2007;52:539–546
  25. Fong YK , Peh SO , Ho SH , Ng FC , Quek PL , Ng KK . Lower pole ratio: a new and accurate predicator of lower pole stone clearance after shockwave lithotripsy? . Int J Urol . 2004;11:700–703
  26. Srivastava A , Zaman W , Singh V , Mandhani A , Kumar A , Singh U . Efficacy of extracorporeal shock wave lithotripsy for solitary lower calyceal stone: a statistical model . BJU Int . 2004;93:364–368
  27. Sengupta S , Donnellan S , Vincent JM , Webb DR . CT analysis of caliceal anatomy in the supine and prone positions . J Endourol . 2000;14:555–557
  28. Gupta NP , Singh DV , Hemal AK , Mandal S . Infundibulopelvic anatomy and clearance of inferior caliceal calculi with shock wave lithotripsy . J Urol . 2000;163:24–27
  29. Sabnis RB , Naik K , Patel SH , Desai MR , Bapat SD . Extracorporeal shock wave lithotripsy for lower calyceal stones: can clearance be predicted? . Br J Urol . 1997;80:853–857
  30. Tan MÖ, İrkilata L, Şen İ, Onaran M, Küpeli B, Karaoğlan U, et al. The impact of radiological anatomy in clearance of lower caliceal stones after shock wave lithotripsy . Urol Res . 2007;35:143–147
  31. Pace KT , Weir MJ , Harju M , Tariq N , D'A Honey RJ . Individual patient variation and inter-rater reliability of lower calyceal infundibular width on routine intravenous pyelography . BJU Int . 2003;92:607–609

PII: S1726-4901(08)70157-6

doi: 10.1016/S1726-4901(08)70157-6

Journal of the Chinese Medical Association
Volume 71, Issue 10 , Pages 496-501 , October 2008

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