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  • Title: [Treatment of staghorn calculi: combined therapy and stone recurrence].
    Author: Tanaka T, Suzuki K, Tsugawa R, Shiraiwa K, Hasegawa M.
    Journal: Hinyokika Kiyo; 1993 Nov; 39(11):1097-101. PubMed ID: 8266885.
    Abstract:
    Between April 1986 and September 1992, 29 extensive staghorn calculi were treated in 24 patients. Treatment was with extracorporeal shock-wave lithotripsy (ESWL) monotherapy in 11, initial ESWL followed by percutaneous nephrolithotomy (PNL) in 7 and initial PNL followed by ESWL in 11. A comparison based on treatment demonstrated that initial PNL followed by ESWL resulted in a lower rate and shorter duration of the "stone street" while stone-free rate at 1 year after the last treatment, recurrence rate, residual stone-growth rate and other complication rates were similar. Initial PNL followed by ESWL should be considered the efficacious treatment option, especially for patients with extensive traghorn calculi.
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