title: [Place of percutaneous nephrolithotomy in the treatment of staghorn stones, 83 cases].
abstract: BACKGROUND
  Staghorn stone is considered as a dreadful type of renal stones. The choice of the best treatment is always difficult.
  
  
  OBJECTIVE
  To evaluate the results of percutaneous nephrolithotomy in the treatment of staghorn stones.
  
  
  METHODS
  We report 83 cases of staghorn stones that were treated by percutaneous nephrolithotomy during a period of 10 years from 1994 to 2004.
  
  
  RESULTS
  The mean age was 44 years and sex-ratio was 2,2. The right kidney was treated alone in 42% of cases, the left one in 56% of cases and both kidneys in only two cases. The mean area of stones was 6,6 cm2. One renal punction was necessary in 97% of cases. The rate of stone free after percutaneous nephrolithotomy only was about 54% and when combined with lithotripsy the rate was 64%.
  
  
  CONCLUSIONS
  Combined treatment using percutaneous nephrolithotomy and lithotripsy is considered as the best procedure for staghorn stones treatment.
authors.affiliation: Service d'urologie, CHU Charles Nicolle, Tunis, Tunisie.
authors.forename: Amine
authors.initials: A
authors.lastname: Derouiche
authors.forename: Karim
authors.initials: K
authors.lastname: Belhadj
authors.forename: Abderrazak
authors.initials: A
authors.lastname: Bouzouita
authors.forename: Amine
authors.initials: A
authors.lastname: Bouassida
authors.forename: Mohamed
authors.initials: M
authors.lastname: Riadh Ben Slama
authors.forename: Mohamed
authors.initials: M
authors.lastname: Chebil
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D017602:Lithotripsy, Laser / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome