Shock Wave Lithotripsy: Initial Therapy prior to Nephrostolithotomy in Selected Patients


Journal Article

Although “sandwich” therapy (percutaneous debulking followed by extracorporeal lithotripsy, with further percutaneous procedures if needed) is the preferred approach for large renal stone burdens, occasionally, the initial use of shock wave lithotripsy may facilitate a difficult access. Eleven patients were treated using shock wave lithotripsy prior to nephrostolithotomy because of difficult-clinical situations and failed attempts at percutaneous access. This “reverse sandwich” approach, although not recommended for all large stone burden problems, has a selective place in our treatment options for urinary stone disease. © 1992, Mary Ann Liebert, Inc. All rights reserved.

Full Text

Duke Authors

Cited Authors

  • Weinerth, JL; Keane, TE; Carson, CC

Published Date

  • January 1, 1992

Published In

Volume / Issue

  • 6 / 1

Start / End Page

  • 15 - 18

Electronic International Standard Serial Number (EISSN)

  • 1557-900X

International Standard Serial Number (ISSN)

  • 0892-7790

Digital Object Identifier (DOI)

  • 10.1089/end.1992.6.15

Citation Source

  • Scopus