Percutaneous management of urinary calculi in horseshoe kidneys.
Urolithiasis in horseshoe kidney presents a unique challenge in decision-making and technical aspects of calculus treatment. We present our experience with a group of patients with symptomatic calculi in their horseshoe kidneys. We had 8 patients with 9 horseshoe kidneys bearing calculi. They all underwent percutaneous nephrolithotomy. The median size of the calculi was 21 mm (range, 12 to 45 mm). Auxiliary therapeutic procedures were required in 2 patients who had residual calculi on control imaging. The stone-free status was observed in 6 patients (75.0%) at discharge, and in 7 (87.5%) after 3 months of follow-up. Surgical complications included bleeding in 2 patients that was controlled with complete bed rest and blood transfusion, and pleural injury in 1 which was managed conservatively.
Majidpour
Heshmatollah Soufi
HS
Department of Urology, Tohid Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran. h_majidpour2007@yahoo.com
Yousefinejad
Vahid
V
D000328:Adult; D015331:Cohort Studies; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D007669:Kidney Calculi / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult