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The American Urological Association grants the Publisher full and exclusive publishing and distribution rights, worldwide, for both print and electronic media. and is published monthly by Wolters Kluwer Health Inc. Options for renal stone removal appear to result in small amounts of renal parenchymalĭamage but are not associated with significant alterations in renal function.ĬOPYRIGHT AND PERMISSIONS: The Journal of Urology® is the Official Journal of the American Urological Association Education and Research, Inc. Moreover, no change in renal functionĪfter treatment was observed when compared with baseline evaluations. Significantly among the four treatment groups. Nephrostomy, neither creatinine and PAH clearances nor renal plasma flows changed The percutaneous nephrostomy group demonstrated 1.53 ± 0.4% of the treated kidneyĭespite the statistically significant increase in renal scarring after percutaneous
The animals that underwent a pyelotomy and minimal parenchymal fibrosis in the nephrotomyĪnd lithotripsy groups (0.014 ± 0.001% and 0.015 ± 0.002%, respectively). Pathologic evaluation one month after treatment revealed no renal scarring in (N = 5), or placement of a percutaneous nephrostomy tube with balloon dilation (N We evaluated 17 pigs (40 to 50 lb.) for evidence of histologic and functional renalĬhanges after a pyelotomy (N = 3) or nephrotomy (N = 4), piezoelectric lithotripsy Of reduced patient morbidity, the relative alterations in renal function and morphologyįor each of the respective treatment modalities have not been completely assessed. Although lithotripsy offers the advantage Including extracorporeal shock wave lithotripsy, percutaneous nephrostolithotomy and
A variety of therapeutic options exists for removal of symptomatic renal calculi,
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