Combinatie van percutane lithotripsie en extracorporeel opgewekte schokgolflithotripsie voor de behandeling van afgietselstenen

- The results are reported of the treatment of the first 99 patients (100 kidneys) with a staghorn calculus by a combination of percutaneous lithotripsy (PCL) and extracorporeally induced shockwave lithotripsy (ESWL) between March 1985 and September 1986. After a follow-up of three months at least, 85 of the kidneys were free of calculi.

Recurrent urinary tract infections in patients free of calculi (50) remain a challenging problem. The combination of PCL and ESWL for treatment of complex calculi or staghorn calculi is preferable to the formerly prevalent open surgery. The combined treatment is safe and simpler to repeat. Complications of PCL could be treated by conservative methods.