title: Percutaneous pneumatic and laser lithotripsy as a possible therapeutic strategy for bilateral large calculi in a horseshoe kidney.
abstract: This report concerns a case of bilateral large calculi in a horseshoe kidney. Three sessions of percutaneous nephrolithotripsy for the calculi successfully disintegrated and removed the fragments without any complications. For complete stone removal we used pneumatic and laser lithotriptors which were passed, respectively, through a rigid nephroscope and a flexible pyeloscope. It is emphasized that the selection of the most suitable lithotriptor by taking their various features into account is important in endoscopic surgery for calculi which are likely to recur such as stones accompanied by infection or for anatomically anomalous kidneys such as horseshoe kidneys.
authors.affiliation: Department of Urology, Kanazawa University School of Medicine, Kanazawa, Ishikawa, Japan. chiseto@fd6.so-net.ne.jp
authors.forename: Chikashi
authors.initials: C
authors.lastname: Seto
authors.forename: Kohji
authors.initials: K
authors.lastname: Satoh
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Morishita
authors.forename: Kazuto
authors.initials: K
authors.lastname: Komatsu
authors.forename: Mikio
authors.initials: M
authors.lastname: Namiki
mesh_terms: D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D007669:Kidney Calculi / Q000150:complications / Q000628:therapy*; D017602:Lithotripsy, Laser; D008297:Male