[Our experience in the treatment of staghorn calculi (1987-2004). Review of our results].
OBJECTIVE
The objective of this work is to analyze the treatment of staghorn calculi at our Department of Urology. We have to know the recent development of endoscopic surgery (percutaneous renal surgery) and external shock wave lithotripsy.


METHODS
We reviewed the surgical management of staghorn calculi during the period between 1987 and 2004.


RESULTS
Percutaneous renal surgery was performed successfully in 24.1% of the cases. Persisting residual fragments appeared in 75.9% and were treated by ESWL or second endoscopic surgery.


CONCLUSIONS
Percutaneous renal surgery may be considered the technique of choice to treat staghorn calculi. Endoscopic surgery has good results and little complications with low morbidity. In other cases the treatment is combined therapy, percutaneous renal surgery and ESWL.
Gonzalo Rodríguez
Victoria
V
Servicio de Urología, Hospital Clínico Universitario de Valladolid, Valladolid, España. victoriaCGR@hotmail.com
Trueba Arguiñarena
F Javier
FJ
Rivera Ferro
Jesús
J
Fernández del Busto
Ernesto
E
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery / Q000628:therapy*; D007682:Kidney Pelvis; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult