ABSTRACT
The surgical treatment of 36 patients with coral-like and multiple nephrolithiasis have been analyzed. The obtained data demonstrate that intraoperative pyelocaliceoscopy in addition to the "open" pyelolithotomy significantly facilitates the revealing and the removal of the stones; shortens the time of the operation; allows to avoid very traumatic nephrotomic sections during complete stone removal (94.4%), and may be recommended in routine urologic practice.
Subject(s)
Endoscopy/methods , Monitoring, Intraoperative , Nephrolithiasis/pathology , Nephrolithiasis/surgery , Adult , Female , Humans , Male , Middle AgedABSTRACT
The parameters of pyelonephritic activity before and after extracorporeal shock wave lithotripsy (ESWL) have been analyzed in 68 patients with coral-like nephrolithiasis. The obtained data allow recommending ESWL treatment without preliminary draining of upper urinary tract only in patients with stable clinical and laboratory remission of inflammatory process. In all other cases, ESWL is recommended after upper urinary tract draining for the prophylaxis of the pyo-septic complications.