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.
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.
- 1. Chaussy C, Schmiedt E, Jocham D, Brendel W, Forssmann B, Walther V. First clinical experience with extracorporeally induced destruction of kidney stones by shock waves. J Urol. 1982 Mar;127(3):417-20. Pubmed citation
- 2. Sayed MA, el-Taher AM, Aboul-Ella HA, Shaker SE. Steinstrasse after extracorporeal shockwave lithotripsy: aetiology, prevention and management. BJU international. 88 (7): 675-8. Pubmed