PURPOSE: The authors evaluated of the efficacy of Genestone 190 lithotriptor (Genemed company) for the treatment of the patients with urinary calculi. MATERIALS AND METHOD: From August, 1995 to February, 1997, Seventy patients with venal stones and 103 patients with ureteral stones underwent SWL using fluoroscopy targeting, under intramuscular analgesics. Characteristics of site and size of stones, number of SWL sessions according to the size of stones, success rate according to site or size of stones, and their complications were analysed. RESULTS: The cumulative stone-free rates of first, second, and third SWL session of renal stones were 47%, 74%, and 86% and the cumulative stone-free rates of ureter stones were 65%, 79%, and 87% respectively. As the size of urinary calculi increased, the numbers of SWL sessions increased, but, the success rates were reduced. Success rate of calyx stone was lower than that of pelvis and multiple stone. Post-SWL complications were transient gross hematuria in 161 cases, steinstrasse in 18 cases, renal colic in 15 cases, and fever in one case. CONCLUSIONS: SWL monotherapy with Genestone 190 lithotriptor is a effective, safe and useful treatment modality which can resolve almost all cases of urinary calculi without any clinically significant complications.
Analgesics ; Fever ; Fluoroscopy ; Hematuria ; Humans ; Lithotripsy* ; Pelvis ; Renal Colic ; Shock* ; Ureter ; Urinary Calculi

We evaluated the clinical outcome of surgical repairs for 59 patients with proximal hypospadias with chordee. Out of 59 cases, there were 6 cases with proximal penile type, 39 with penoscrotal type, 11 with scrotal type and 3 with perineal type. Associated anomalies were bifid scrotum in 21, penoscrotal transposition in 17, cryptorchidism in 12, imperforated anus in 2 and congenital heart disease in 2 cases. Thirty-nine cases were treated with one-stage repair and 20 cases with multi-stage repair. Surgical methods for one-stage repair were transverse preputial flap (TPF, 30 cases), onlay island flap (OIF, 8 cases) and bladder mucosa graft (1 case). And surgical methods for multi-stage repair were Belt-Fugua method (11 cases), Thiersch-Duplay method (4 cases), bladder mucosa graft (3 cases) and scrotal-penile tube graft (2 cases). The overall complication rate was 40.7%. The most common complications were urethrocutaneous fistula (17 cases) and urethral stricture (7 cases). Complication rates of one-stage and multi-stage operations were 35.9% and 50%, respectively. In our series, there were 24 cases whose penile length was shorter than 2.5 cm. Out of these patients, 14 cases recieved 25 mg of testosterone cypionate at intervals of 3 weeks for a total period of three months preoperatively. Although testosterone provided some increment of penile size, postoperative complications were developed in 7 patients of testosterone-treated group exclusively. Despite relatively high complication rate in our series, our final results based on cosmesis and function were excellent in all cases. Our experience indicates that multi-stage operation may not be superior to one-stage procedure in proximal hypospadias repair, and that preoperative administration of testosterone may not decrease complication rate in cases with short penile length.
Anal Canal ; Cryptorchidism ; Female ; Fistula ; Heart Defects, Congenital ; Humans ; Hypospadias* ; Inlays ; Male ; Mucous Membrane ; Postoperative Complications ; Scrotum ; Testosterone ; Transplants ; Urethral Stricture ; Urinary Bladder