Korean J Urol.
1991 Aug;32(4):582-586.
The experiences of endourologic management and extracorporeal shock wave lithotripsy to the complications in horseshoe kidneys
- Affiliations
-
- 1Department of Urology, Yonsei University, College of Medicine, Seoul, Korea.
Abstract
- Due to recently advanced endourologic development. most patients with complications in horsehoe kidney can be managed with endourologic treatment and ESWL. From June 1986 to June 1990, 26 kidney units in 23 patients with horseshoe kidney were evaluated. They were treated in 6 kidney units with open surgery, 6 kidney units with endoscopic surgery, 6 kidney units with ESWL, 2 kidney units with combination of percutaneous nephrolithotomy and ESWL and 1 kidney units with combination of nephrolithotomy and ESWL, respectively. Of 14 kidney units with endourologic management and ESWL, the complications in 13 kidney units were managed successfully. The percutaneous nephrolithotomy, endopyelotomy and ureterorenoscopic management in horseshoe kidneys do not carry a greater risk than that reported for normal kidneys. In ESWL, focal pointing of the calculi may be difficult due to increased distance between the flank and renal calculi. But without major technical modification, stones in a horseshoe kidney may be treated by ESWL. In conclusion, most patients with calculi or obstruction in horseshoe kidneys can be managed primarily with endoscopic surgery or ESWL.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Clinical Experience of Extracorporeal Shock Wave Lithotripsy for Urinary Calculi
- Effects of Extracorporeal Shock Wave Lithortripsy Experimentally Induced Cholelithiasis and Organs in the Dog
- The effect of double-J stent in extracorporeal shock wave lithotripsy monotherapy of staghorn calculi
- Extracorporeal shock wave lithotripsy of lower caliceal stone
- Clinical Experience of Domestic SDS-2 Extracorporeal Shock Wave Lithotriptor (ESWL) for 315 Urinary Calculi
