Due to improved rinsing techniques local chemolitholysis is again becoming more important. Good result good results in the local chemolysis of
phosphate calculi (
calculi caused by remains of Struvit) with
Renacidin and other rinsing solutions (Fam, Rossier, Gittes, Jacobs, Smith, Royle, Nemoy, Stamey) have led to a revival chemolitholysis (Alken) in the last 4--5 years, however only in the case of
phosphate calculi, which account for 60--80%, cannot be dissolved by
Renacidin, as is explicitly pointed out by the manufacturer. The experiments carried out by the group headed by Kallistratos and Timmermann in the 60's using rinsing solutions based on
EDTA were discontinued, probably because of physiological reservations concerning the chemicals used and the long
duration of treatment at physiologically tolerable concentrations and pH values. In order to extend the range of rinsing solutions to be tested, we tested new substances, including some which complex not only the
anion (
oxalate) but also the
cation (Ca). Alternating treatment with
oxalate binding and Ca binding rinsing solutions has been found to give particularly good results.