Kontroverse Unterkelchstein: kontrollieren oder intervenieren? = Controversy on lower pole stones. Monitor or intervene?
For many years, the treatment options of lower pole stones have been discussed controversially: Watchful waiting, shock wave lithotripsy, flexible ureterorenoscopy and percutaneous litholapaxy. Small lower pole stones <1 cm can be monitored actively. Shock waves can disintegrate the stones and ar...
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| Main Authors: | , |
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| Format: | Article (Journal) |
| Language: | German English |
| Published: |
March 2012
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| In: |
Der Urologe
Year: 2012, Volume: 51, Issue: 3, Pages: 368-371 |
| DOI: | 10.1007/s00120-012-2806-9 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1007/s00120-012-2806-9 Verlag, Volltext: https://doi.org/10.1007/s00120-012-2806-9 
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| Author Notes: | A. Häcker, M.S. Michel |
| Summary: | For many years, the treatment options of lower pole stones have been discussed controversially: Watchful waiting, shock wave lithotripsy, flexible ureterorenoscopy and percutaneous litholapaxy. Small lower pole stones <1 cm can be monitored actively. Shock waves can disintegrate the stones and are recommended for stones <1 cm. However, the stone-free rate is limited because of the particular anatomy of the lower pole. Modern flexible ureterorenoscopes can nowadays reach even anatomically unfavourable lower calyxes. For stones <1 cm good stone-free results can be achieved. For larger stones >2 cm percutaneous nephrolithotomy (PNL) is the standard treatment modality. |
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| Item Description: | Gesehen am 08.11.2018 |
| Physical Description: | Online Resource |
| DOI: | 10.1007/s00120-012-2806-9 |