Summary
A group of patients with struvite staghorn calculi were treated by combining percutaneous ultrasonic lithotripsy (PUL) and extracorporeal shock wave lithotripsy. Stone free rates at a mean follow-up of six months were only 23%. Far superior results have been achieved with PUL above. The primary treatment of struvite staghorn should be with PUL. Shock wave lithotripsy should be reserved for fragments difficult or dangerous to access.
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Segura, J.W., Patterson, D.E. & LeRoy, A.J. Combined percutaneous ultrasonic lithotripsy and extracorporeal shock wave lithotripsy for struvite staghorn calculi. World J Urol 5, 245–247 (1987). https://doi.org/10.1007/BF00327228
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DOI: https://doi.org/10.1007/BF00327228