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Li HY et al, 2015: Treatment of renal uric acid stone by extracorporeal shock wave lithotripsy combined with sodium bicarbonate: 2 case reports.

Li HY, Lian PY, Zhou ZY, Song P, Yan Y, Liu JH.
Department of Urology, The Affiliated Hospital of Hainan Medical College Hailou 570120, P. R. China.
Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan, Hubei 430030, P. R. China.

Abstract:

Uric acid stone is the most comment radiolucent renal stone with high recurrence rate, which would further cause acute upper urinary tract obstruction and kidney failure. Here we report two cases of renal uric acid stone from December 2012 to April 2013. One 43-year-old male patient suffered from chronic uric acid nephrolithiasis caused by the long-term indwelling of bilateral double-J stent. Another 69-year-old patient was also diagnosed with uric acid nephrolithiasis at the right kidney. Both patients were first treated with extracorporeal shock wave lithotripsy (ESWL), followed by 1.5% sodium bicarbonate dissolution therapy. After a week of the treatment, the uric acid stones in both patients were completely dissolved without retrograde infection. In summary, the use of ESWL and sodium bicarbonate dissolution therapy as a combined modality is a safe, effective, inexpensive treatment for uric acid nephrolithiasis. 

Int J Clin Exp Med. 2015 Aug 15;8(8):14130-5. eCollection 2015.

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Comments 1

Peter Alken on Friday, 11 March 2016 12:21

Local chemolysis is not free from dangerous complications. The interested reader should have a look at Bernardo NO, Smith AD. Chemolysis of urinary calculi. Urol Clin North Am. 2000 May;27(2):355-65.

Local chemolysis is not free from dangerous complications. The interested reader should have a look at Bernardo NO, Smith AD. Chemolysis of urinary calculi. Urol Clin North Am. 2000 May;27(2):355-65.
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