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Percutaneous Management of Urinary Calculi in Horseshoe Kidneys

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Author(s): Heshmatollah Soufi Majidpour | Vahid Yousefinejad

Journal: Urology Journal
ISSN 1735-1308

Volume: 5;
Issue: 3;
Start page: 188;
Date: 2008;
Original page

ABSTRACT
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.
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