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Original Article

Treatment of Cystine Stones: Combined Approach using open Pyelolithotomy, Percutaneous Pyelolithotripsy, Extracorporeal Shock Wave Lithotripsy and Chemolysis

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Pages 415-417 | Received 27 Aug 1992, Accepted 05 Jan 1993, Published online: 15 Feb 2010
 

Abstract

Treatment of cystine stones in the urinary tract can be difficult because of a high frequency of recurrence, resistance to Extracorporeal Shock Wave Lithotripsy (ESWL), difficulty in localization and access to peripheral stones during Percutaneous Nephrolithotripsy (PCNL), and the insufficient effect of oral chemolysis. We present two cases of urinary cystine calculi treated with a combination of pyelolithotomy, PCNL, ESWL and percutaneous irrigation chemolysis, using N-acetylcysteine and Tromethamine-E.

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