THE COMPARATIVE EVALUATION OF THE EFFICIENCY OF THE MODERN METHODS OF TREATMENT OF CORAL RENAL CALCULI

Abstract

THE AIM. A comparative evaluation of the efficiency of the modern methods of treatment of patients with coral nephrolithiasis. PATIENTS AND METHODS. Under medical observation were 138 patients with coral nephrolithiasis, who were, according to the classification proposed on the IV all-union urologists’ congress (1990), divided into 4 groups, the patents were examined before the treatment, in the near postoperative period and after 6 month – 9 years after the discharge. The examination included the clinical, laboratory, ultrasound, X-ray and radiological methods. The density of the calculus was determined by the Hounsfield scale. More often the patents had the distant shock-wave lithotripsy and percutaneous nephrolithotripsy. RESULTS. After the treatment the total destruction of the coral calculi was noted in 90,6% patients The most effective was the «sandwich» therapy, which included percutaneous nephrolithotripsy with the following distant shock-wave lithotripsy of residual calculi. CONCLUSION. The choice of the method of the treatment of the patients with coral nephrolithiasis depends on the form, volume and density of the calculi, clinical manifestations of the illness, complications, renal function and the state of the urodynamics of the upper urinary tract.