Steinstrasse patients underwent ureteroscopy to remove calculi in the distal ureter.
If the calculi are difficult to pulverize, a stone basket can be used to remove calculi over 2 mm to prevent steinstrasse and shorten the time of extraction.
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In up to one-third of cases, Steinstrasse may present as a silent obstruction, with the resultant loss of renal function.
Steinstrasse is a known complication of the treatment of large renal calculi and is reported in 2 to 10 per cent of SWL cases.
Schmidt, Department of Anatomy and Cell Biology, Martin Luther University Faculty of Medicine, Grosse Steinstrasse
52, D-06097 Halle (Saale), Germany.
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20, D-40212 DE-sseldorf Tel.
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One patient suffered from steinstrasse
and it was managed by rigid ureteroscopy.
CONTACT: Contact: Stephan Lindow, Partner AVIDA Group, Steinstrasse
20, D-40212 Dusseldorf, Tel.
In this series, there was only 1 readmission for steinstrasse
in the CMV group and no cases of pyleonephritis, sepsis or perinephric trauma (as assessed by postoperative image review at 6 weeks) in either group.