Management of large staghorn calculi – PCN Approach
KeywordsUrolithiasis, Staghorn Calculi, PCN Approach
AbstractUrolithiasis is common condition affecting more than 10 % of well-developed country’s population. Formation of the stones may have few different causes. Stones can be classified by size, location, etiology, composition, and risk of recurrence. Evaluation of the stones should consist of imaging : X-Ray, CT, USG. When dealing with staghorn calculi PCN approach should be method of choice. This procedure is relatively safe and effective. In this paper we would like to present a case report of large and very hard complete staghorn calculi which was managed by the PCNL
(1)Trinchieri A, et al., Epidemiology, In: Stone Disease, edited by Segura J, Conort P, Khoury S, Paris, France, ICUD, Distributed by Editions 21, 2003,
(2) Hesse, A., et al. Study on the prevalence and incidence of urolithiasis in Germany comparing the years 1979 vs. 2000. Eur Urol, 2003. 44: 709.
(3) El-Wahab, O.A., et al. Multislice computed tomography vs. intravenous urography for planning supine percutaneous nephrolithotomy: A randomised clinical trial. Arab J Urol, 2014. 12: 162.
(4) Thiruchelvam, N., et al. Planning percutaneous nephrolithotomy using multidetector computed tomography urography, multiplanar reconstruction and three-dimensional reformatting. BJU Int, 2005. 95: 1280.
(5) Pearle, M.S., et al., Medical management of urolithiasis. 2nd International consultation on Stone Disease, Denstedt J., Khoury S. eds. 2008.
(6) Healy KA, Ogan K. Pathophysiology and management of infectious staghorn calculi. Urol Clin North Am 2007;34:363–374.
(7) Resnick MI, Boyce WH. Bilateral staghorn calculipatient evaluation and management. J Urol. 1980;123: 338–341.
(8) Heimbach D, Jacobs D, Muller SC, et al. Chemolitholysis and lithotripsy of infectious urinary stones – an in vitro study. Urol Int. 2002;69:212–218.
(9) Preminger GM, Assimos DG, Lingeman JE, Nakada SY, Pearle MS, Wolfe JS Jr; AUA Nephrolithiasis Guideline Panel. Chapter 1: AUA guideline on management of staghorn calculi: Diagnosis and treatment recommendations. J Urol 2005;173:1991–2000.
(10) EAU Guidelines. Edn. presented at the EAU Annual Congress Barcelona 2019. ISBN 978-94-92671-04-2.
(11) Ruhayel, Y., et al. Tract Sizes in Miniaturized Percutaneous Nephrolithotomy: A Systematic Review from the European Association of Urology Urolithiasis Guidelines Panel. Eur Urol, 2017. 72: 220.
(12) Mariappan, P., et al. Stone and pelvic urine culture and sensitivity are better than bladder urine as predictors of urosepsis following percutaneous nephrolithotomy: a prospective clinical study. J Urol, 2005. 173: 1610.
(13) Gettman MT, Segura JW. Struvite stones: diagnosis and current treatment concepts. JEndourol. 1999;13: 653–658.
(14) Seitz, C., et al. Incidence, prevention, and management of complications following percutaneous nephrolitholapaxy. Eur Urol, 2012. 61: 146.
(15) Koga S, Arakaki Y, Matsuoka M, Ohyama C. Staghorn calculi—long-term results of management. Br J Urol 1991; 68:122–124.
(16) Rassweiler JJ, Renner C, Eisenberger F. The management of complex renal stones. BJU Int. 2000;86:919–28.
(17) Di Silverio F, Gallucci M, Alpi G. Staghorn calculi of the kidney: Classification and therapy. Br J Urol. 1990;65:449–52
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