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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Bibliographische Detailangaben
Hauptverfasser: Häcker, Axel (VerfasserIn) , Michel, Maurice Stephan (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Deutsch
Englisch
Veröffentlicht: March 2012
In: Der Urologe
Year: 2012, Jahrgang: 51, Heft: 3, Pages: 368-371
DOI:10.1007/s00120-012-2806-9
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1007/s00120-012-2806-9
Verlag, Volltext: https://doi.org/10.1007/s00120-012-2806-9
Volltext
Verfasserangaben:A. Häcker, M.S. Michel
Beschreibung
Zusammenfassung: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.
Beschreibung:Gesehen am 08.11.2018
Beschreibung:Online Resource
DOI:10.1007/s00120-012-2806-9