Prophylactic antibiotics for ESWL treatment

We conducted a prospective controlled study on 150 patients with sterile urine undergoing ESWL treatment for renal and ureteric stones to evaluate the value of a single dose of antibiotic prophylaxis. The patients were placed randomly in three groups with 50 patients in each group. A single dose of i.v. 1.2 g co-amoxiclav was given to patients in Group A, 80 mg gentamicin to Group B and isotonic saline was given to Group C as a control, at the beginning of ESWL treatment. Urine cultures after ESWL were obtained at 24 h and 1 week, five patients in group A [10%]; six patients in Group B [12%] and five patients [10%] in the control group had positive urine cultures after ESWL. The methodology, results and conclusions drawn from this study are presented

Percutaneous cystolithotripsy in the management of vesical calculi in children

We describe a technique for removal of vesical calculi in children through a percutaneous approach. The technique was performed easily and successfully in six children. Convalescence was uneventful. The technical details and the advantages of this approach are outlined and discussed