Operative versus non-operative management of patients with staghorn calculi and neurogenic bladder.
During the last 5 years 22 patients have been treated at our hospital for staghorn calculi and neurogenic bladder. In 17 patients an operation was done soon after discovery of the calculi, while 5 patients were followed non-operatively. The latter 5 patients had a rapid downhill course marked by sepsis and renal function deterioration and an operation was necessary in 4 of the 5 cases. Injudicious non-operative therapy only prolongs the relentless effects of staghorn calculi in patients with spinal cord pathology.
D000328:Adult; D002408:Catheters, Indwelling; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007669:Kidney Calculi / Q000150:complications* / Q000601:surgery / Q000628:therapy*; D008875:Middle Aged; D011183:Postoperative Complications; D001750:Urinary Bladder, Neurogenic / Q000150:complications* / Q000601:surgery / Q000628:therapy; D014546:Urinary Catheterization; D014556:Urine; D014718:Vesico-Ureteral Reflux / Q000150:complications