Surgical management

Surgical management

Indications for surgical intervention /uni25CF Failure of medical management. /uni25CF Impaired renal function. /uni25CF Chronic infection – staghorn calculi, matrix calculi. /uni25CF High-risk occupation or geographical location – pilots, long-distance locomotive drivers, sailors. /uni25CF Patient’s preference. The choice of therapy depends on multiple factors such as surgical fi tness, body habitus and stone characteristics. The Christian G Chaussy , b. 1945, German urologist. general principle is to choose the least invasive method possible for that particular stone.

Figure 82.10 Steinstrasse formation after extracorporeal shock wave lithotripsy at the right distal ureter (courtesy of Department of Urology, Christian Medical College, Vellore, India).