[Treatment of urolithiasis in the horse-shoe-shaped kidney].
Seventeen patients with horse-shoe kidneys and nephroliths (5 females, 12 men, age from 17 to 63 years) participated in the trial. All the patients have undergone a complete clinical and laboratory examinations. Use of modern high-tech methods in urology allows one to have a new look on nephroliths treatment in patients with horseshoe kidney. It was found effective to apply extracorporeal shockwave lithotripsy if the horse-shoe kidney contains one stone of up to 1.5 cm in size and a latent-stage pyelonephritis. Internal drainage of the ureter by a stent catheter before surgery decreases the risk of complications and provides fragmentation of the stone. In horse-shoe kidney with multiple nephroliths, conventional operation such as pyelolithotomy should be supplemented with ureter stent catheterization and extracorporeal shock-wave lithotripsy.
Alchinbaev
M K
MK
Kozhabekov
B S
BS
Malikh
A
A
Khamzin
A A
AA
Omarov
E S
ES
Sengirbaev
D I
DI
Seitov
N N
NN
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery; D007669:Kidney Calculi / Q000150:complications / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000150:complications; D015607:Stents; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures