Article

[Management of stones in renal caliceal diverticula].

Service d'urologie, hôpital La-Conception, 147, boulevard Baille, 13005 Marseille, France.
Progrès en Urologie (impact factor: 0.58). 01/2009; 18(12):989-91. DOI:10.1016/j.purol.2008.09.019 pp.989-91
Source: PubMed

ABSTRACT Stones in renal caliceal diverticula with no symptom or infection can be managed with surveillance. In other cases, extracorporeal lithotripsy (ESWL) can be the first line treatment for all diverticular stones, whatever their renal location. In case of ESWL failure, the procedure choice depends of the location of the diverticulum. Percutaneous surgery is indicated for lower and posterior diverticula. The puncture must be directly targeted to the stone. Flexible ureteroscopy is indicated for upper and mid, anterior or posterior, diverticula. Laparoscopy can be indicated for anterior, mid and lower or upper, diverticula. A medical evaluation and treatment must be systematic.

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Keywords

cases
 
diverticula
 
diverticular stones
 
diverticulum
 
ESWL
 
ESWL failure
 
first line treatment
 
Flexible ureteroscopy
 
Laparoscopy
 
lower
 
medical evaluation
 
Percutaneous surgery
 
posterior diverticula
 
renal caliceal diverticula
 
renal location
 
Stones
 
upper
 

E Lechevallier