Management of staghorn stones using a combination of lithotripsy, percutaneous nephrolithotomy and Solution R irrigation.
The treatment of staghorn and partial staghorn calculi remains complex despite modern methods of stone removal. We describe the results following treatment of 112 stones. Three methods were used: percutaneous nephrolithotomy, extracorporeal shockwave lithotripsy and Solution R irrigation, either alone or in combination; 57 stones (55.8%) were completely cleared, with Solution R irrigation helping to achieve complete clearance in 6 of these. A further 24 stones were not completely cleared (small asymptomatic fragments less than 3 mm remained). A satisfactory outcome (stone-free or asymptomatic fragments less than 3 mm) was achieved in 81 stones (79%).
Holden
D
D
Department of Urology, University Hospital of South Manchester.
Rao
P N
PN
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D002951:Citrates; D019343:Citric Acid; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007668:Kidney / Q000601:surgery*; D007669:Kidney Calculi / Q000601:surgery / Q000628:therapy*; D007682:Kidney Pelvis / Q000601:surgery; D008096:Lithotripsy; D008274:Magnesium; D008297:Male; D008875:Middle Aged; D007507:Therapeutic Irrigation
D002951:Citrates; C005479:magnesium carbonate; D019343:Citric Acid; D008274:Magnesium