Percutaneous nephrolithotomy of transplanted kidney.
Urinary lithiasis after renal transplantation is a relatively uncommon disease; the predisposing factors and the composition of calculi are identical to those of patients with native kidneys. We present a case of a 45-year-old woman with a staghorn stone in a left-sided transplanted kidney who was treated successfully by percutaneous nephrolithotomy (PCNL). After reviewing the literature, we conclude that PCNL in transplanted kidney is a feasible and safe procedure. The technical aspects of the procedure, such as patient position and the use of the ultrasound-guided caliceal puncture, are stressed.
Francesca
Francesco
F
Division of Urology, S. Chiara Hospital, Pisa, Italy. ffrancesca@ao-pisa.toscana.it
Felipetto
Renato
R
Mosca
F
F
Boggi
U
U
Rizzo
G
G
Puccini
R
R
D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D007669:Kidney Calculi / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D016030:Kidney Transplantation; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D011183:Postoperative Complications; D011859:Radiography; D014463:Ultrasonography