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Management of Staghorn Stones Using a Combination of Lithotripsy, Percutaneous Nephrolithotomy and Solution R Irrigation
Author(s) -
HOLDEN D.,
RAO P. N.
Publication year - 1991
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.1991.tb15060.x
Subject(s) - percutaneous nephrolithotomy , lithotripsy , medicine , staghorn calculus , irrigation , urology , percutaneous , surgery , biology , agronomy
Summary— The treatment of staghorn and partial staghorn calculi remains complex despite modern methods of stone removal. We describe the results following treatment of 112 stones. Three methods were used: percutaneous nephrolithotomy, extracorporeal Shockwave lithotripsy and Solution R irrigation, either alone or in combination; 57 stones (55.8%) were completely cleared, with Solution R irrigation helping to achieve complete clearance in 6 of these. A further 24 stones were not completely cleared (small asymptomatic fragments <3 mm remained). A satisfactory outcome (stone‐free or asymptomatic fragments < 3 mm) was achieved in 81 stones (79%).