Solitary kidney stone treatment by extracorporeal shock wave lithotripsy

Eur Urol. 1997;31(3):305-10. doi: 10.1159/000474473.


Objectives: To determine if solitary kidney stones can be successfully treated with ESWL.

Methods: 38 patients were examined, 34 stones were treated on a Dornier lithotripter HM-3, and 4 on a Siemens Lithostar. 17 stones were larger than 400 mm2, 11 were incomplete and 6 complete staghorn calculi. In 26 patients a catheter was placed before lithotripsy, double-J and ureteral stents in 14 and 12, respectively.

Results: Successful outcome of lithotripsy was achieved in 34 patients (89%). Complete fragment elimination was recorded in 23 patients (60%), and in 11 (29%) a negligible residuum was noticed. Treatment failure was recorded in 4 patients. In 3 patients fragment elimination was poor, and in 1 patient 3 ESWL sessions were not sufficient to commence stone destruction and we decided to operate on this patient. Anuria occurred in 4 patients (10%).

Conclusions: Our results suggest that ESWL can be successfully used in the treatment of urolithiasis in a solitary kidney. Even in cases of staghorn stones, the obligatory placement of a double-J catheter, and strategic lithotripsy in several sessions result in a high success rate with a tolerable risk of complications.

Publication types

  • Clinical Trial

MeSH terms

  • Anuria / etiology
  • Anuria / therapy
  • Female
  • Humans
  • Kidney Calculi / complications
  • Kidney Calculi / therapy*
  • Lithotripsy*
  • Male
  • Risk Factors
  • Treatment Outcome
  • Ureteral Calculi / complications
  • Ureteral Calculi / therapy
  • Urography