Steinstrasse

Steinstrasse [stīn′shtra-se] is the German word for "stone street", describing a possible complication of extracorporeal shock wave lithotripsy (ESWL) for urinary tract calculi, wherein a column of stone fragments forms that blocks the ureter.

Incidence

Steinstrasse usually develops 1 day to 3 months after stone fragmentation by ESWL. The most common site of the column of stone fragments obstruction is the distal ureter (64%), followed by proximal ureter (29%), and mid ureter (8%) 2.

These days, refined ESWL technique has reduced the incidence of steinstrasse from 20% to 6% 2.

History and etymology

The term was coined by Egbert Schmiedt and Christian Chaussy, the German pioneers of ESWL in the 1980s.

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Article information

rID: 19917
System: Urogenital
Section: Signs
Synonyms or Alternate Spellings:
  • Steinstrasse [stīn′stra-se]

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Cases and figures

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    Figure 1: Steinstrasse - illustrative photgraph
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    Low-dose CT MIP s...
    Case 1
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    Case 1 Two Ureter...
    Case 2
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     Case 3
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    Case 4: Steinstrasse (stone street)
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    Case 5
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    Case 6
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    Case 7
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    Case 8
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    Case 9
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    Case 10: urethral steinstrasse
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