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The Technique and Results of Pyelocalycotomy for Staghorn Calculi
Author(s) -
TEPHENSON T. P.,
BAUER S.,
HARGREAVE T. B.,
WARWICK RICHARD TURNER
Publication year - 1975
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1975.tb04053.x
Subject(s) - clearance , staghorn calculus , medicine , surgery , sinus (botany) , calculus (dental) , urology , dentistry , biology , botany , percutaneous , percutaneous nephrolithotomy , genus
Summary In 10 kidneys treated by the sinus approach the overall recurrence rate was 40%. In 48 kidneys treated by pyelocalycotomy the overall recurrence rate was 17% but only 6% in functioning kidneys with infective stones. Infection was controlled in 75 % of patients from whom all stone fragments were removed radiologically but all patients in whom fragments remained, or who developed further calculi, remained infected—with Proteus in 75 % of cases. All patients with kidneys completely cleared of calculi in whom infection was controlled remained stone‐free for periods of up to 10 years.