EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY FOR URINARY CALCULI IN AUTOSOMAL-DOMINANT POLYCYSTIC KIDNEY-DISEASE

Autosomal dominant polycystic kidney disease (ADPKD) is an inherited s ystemic disorder. Renal stones have a high rate of occurrence among pa tients with ADPKD and are a significant cause of morbidity in this dis order. Thirteen patients with ADPKD and symptomatic or obstructive ren al stones presented to our hospital for evaluation and treatment with extracorporeal shockwave lithotripsy (SWL). A total of 16 renal units were treated. The auxiliary procedures included placement of a double- J stent in nine kidneys when the stone was larger than 8 mm in diamete r. Eleven patients (85%) were stone free 3 months after lithotripsy; a second treatment was necessary in two patients. We conclude that SWL can be used as a primary management tool for renal stones in patients with ADPKD.