[Extracorporeal shockwave lithotripsy (ESWL) as monotherapy using the Dornier HM-3 in staghorn kidney lithiasis. Effectiveness of the use of a double J catheter].

The authors reviewed 110 cases of staghorn calculi (71 complete and 39 incomplete) from 693 cases of lithiasis that had been treated over a 15-month period at their hospital with the Dornier HM-3 lithotripter. Good results were achieved in 72.2% of the cases. One patient had a fall in hematocrit and a subcapsular hematoma which evolved well. Of the patients who did not have a double-J catheter, 33.6% had steinstrasse versus 27.9% of those who did. Because the complication rate is lower when double-J catheter placement is combined with ESWL this approach is recommended instead of PCN + ESWL.