Rolul ESWL în tratamentul litiazei pe rinichi unic

Abstract

Summary Extracoroporeal shock wave lithotripsy (ESWL), beeing the less invasive treatment with great efficiency, proved in time, can be used for the treatment of urinary lithiasis in solitary kidney. In 10 years we performed ESWL to 129 patients with stones on solitary kidney (1,76%), aged between 20 and 80 years, performing 198 ESWL treatments. In 59,68% of the patients we desintegrated the stone after 1 ESWL. We had complications to 10 patients (7,75%) and in 7 cases it was necessary to perform other procedures to resolve them. In 6 patients (4,65) ESWL was not successful. In some cases, we consider that ESWL can be successfully performed to the patients with urinary lithiasis on solitary kidney. The complications are not severe, and can be resolved with other the less invasive procedures. It is very important to survey the patients after ESWL and to find early the complications that can occour post-ESWL.