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Minimally Invasive Treatment of Calculi in Renal Anomalies

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Urolithiasis

Abstract

Treatment of calculi in patients with congenital renal anomalies (such as horseshoe, ectopic, autosomal dominant polycystic kidneys, and duplex systems) requires special considerations. These kidneys had abnormal vascular, altered calyceal orientation, and variable anatomical relations with the surrounding viscera. Nowadays, minimally invasive techniques (such as extracorporeal shock wave lithotripsy [SWL], flexible ureterorenoscopy [F-URS], percutaneous nephrolithotomy [PNL] and laparoscopic pyelolithotomy) are the most frequently used modalities for treatment of calculi in both normal and anomalous kidneys. They offer high stone-free rates with minimal morbidity and improved recovery. However, there are many challenges in utilization of these modalities in patients with renal anomalies.

In this chapter, we describe indications, techniques, and results of minimally invasive treatments for calculi in anomalous kidneys.

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References

  1. Rana AM, Bhojwani JP. Percutaneous nephrolithotomy in renal anomalies of fusion, ectopia, rotation, hypoplasia, and pelvicalyceal aberration: uniformity in heterogeneity. J Endourol. 2009;23:609–14.

    Article  PubMed  Google Scholar 

  2. Küpeli B, Isen K, Biri H, Sinik Z, Alkibay T, Karaoğlan U, et al. Extracorporeal shockwave lithotripsy in anomalous kidneys. J Endourol. 1999;13:349–52.

    Article  PubMed  Google Scholar 

  3. Sheir KZ, Gad HM. Prospective study of the effects of shock wave lithotripsy on renal function: role of post-shock wave lithotripsy obstruction. Urology. 2003;61(6):1102–6. discussion 1106.

    Article  PubMed  Google Scholar 

  4. Al-Tawheed AR, Al-Awadi KA, Kehinde EO, Abdul-Halim H, Hanafi AM, Ali Y. Treatment of calculi in kidneys with congenital anomalies: an assessment of the efficacy of lithotripsy. Urol Res. 2006;34:291–8.

    Article  PubMed  Google Scholar 

  5. Grossa AJ, Fisher M. Management of stones in patients with anomalously sited kidneys. Curr Opin Urol. 2006;16:100–5.

    Article  Google Scholar 

  6. Ng CS, Yost A, Streem SB. Nephrolithiasis associated with autosomal dominant polycystic kidney disease: contemporary urological management. J Urol. 2000;163:726–9.

    Article  PubMed  CAS  Google Scholar 

  7. Bhatia V, Biyani CS. Urolithiasis with congenital upper tract anomalies: a 4-year experience with extracorporeal shock wave lithotripsy. J Endourol. 1994;8:5–8.

    Article  PubMed  CAS  Google Scholar 

  8. Tunc L, Tokgoz H, Tan MO, Kupeli B, Karaoglan U, Bozkirli I. Stones in anomalous kidneys: results of treatment by shock wave lithotripsy in 150 patients. Int J Urol. 2004;11(10):831–6.

    Article  PubMed  Google Scholar 

  9. Weizer AZ, Springhart WP, Ekeruo WO, Matlaga BR, Tan YH, Assimos DG, et al. Ureteroscopic management of renal calculi in anomalous kidneys. Urology. 2005;65:265–9.

    Article  PubMed  Google Scholar 

  10. Fayad AS. Retrograde holmium:YAG laser disintegration of stones in pelvic ectopic kidneys: would it minimize the risk of surgery? J Endourol. 2008;22:919–22.

    Article  PubMed  Google Scholar 

  11. Desai MR, Jasani A. Percutaneous nephrolithotripsy in ectopic kidneys. J Endourol. 2000;14:289–92.

    Article  PubMed  CAS  Google Scholar 

  12. Holman E, Tóth C. Laparoscopically assisted percutaneous transperitoneal nephrolithotomy in pelvic dystopic kidneys: experience in 15 successful cases. J Laparoendosc Adv Surg Tech A. 1998;8:431–5.

    Article  PubMed  CAS  Google Scholar 

  13. Maheshwari PN, Bhandarkar DS, Andankar MG, Shah RS. Laparoscopically guided transperitoneal percutaneous nephrolithotomy for calculi in pelvic ectopic kidneys. Surg Endosc. 2004;18:1151.

    Article  PubMed  CAS  Google Scholar 

  14. Matlaga BR, Kim SC, Watkins SL, Kuo RL, Munch LC, Lingeman JE. Percutaneous nephrolithotomy for ectopic kidneys: over, around, or through. Urology. 2006;67:513–7.

    Article  PubMed  Google Scholar 

  15. El-Kappany HA, El-Nahas AR, Shoma AM, El-Tabey NA, Eraky I, El-Kenawy MR. Combination of laparoscopy and nephroscopy for treatment of stones in pelvic ectopic kidneys. J Endourol. 2007;10:1131–6.

    Article  Google Scholar 

  16. Gallucci M, Vincenzoni A, Schettini M, Fortunato P, Cassanelli A, Zaccara A. Extracorporeal shock wave lithotripsy in ureteral and kidney malformations. Urol Int. 2001;66:61–5.

    Article  PubMed  CAS  Google Scholar 

  17. Kirkali Z, Esen AA, Mungan MU. Effectiveness of extracorporeal shockwave lithotripsy in the management of stone-bearing horseshoe kidneys. J Endourol. 1996;10:13–5.

    Article  PubMed  CAS  Google Scholar 

  18. Lampel A, Hohenfellner M, Schultz-Lampel D, Lazica M, Bohnen K, Thürof JW. Urolithiasis in horseshoe kidneys: therapeutic management. Urology. 1996;47:182–6.

    Article  PubMed  CAS  Google Scholar 

  19. Semerci B, Verit A, Nazlı O, Ilbey O, Ozyurt C, Cikili N. The role of ESWL in the treatment of calculi with anomalous kidneys. Eur Urol. 1997;31:302–4.

    PubMed  CAS  Google Scholar 

  20. Janetschek G, Kunzel KH. Percutaneous nephrolithotomy in horseshoe kidneys: applied anatomy and clinical experience. Br J Urol. 1988;62:117–22.

    Article  PubMed  CAS  Google Scholar 

  21. Shokeir AA, EL-Nahas AR, Shoma AM, Eraki I, El-Kenawy M, Mokhtar A, et al. Percutaneous nephrolithotomy in treatment of large stones within horseshoe kidneys. Urology. 2004;64:426–9.

    Article  PubMed  Google Scholar 

  22. Mosavi-Bahar SH, Amirzargar MA, Rahnavardi M, Moghaddam SM, Babbolhavaeji H, Amirhasani S. Percutaneous nephrolithotomy in patients with kidney malformations. J Endourol. 2007;21:520–4.

    Article  PubMed  Google Scholar 

  23. Razvi S, Zaidi Z. Percutaneous nephrolithotomy (PNL) in horse shoe kidneys. J Pak Med Assoc. 2007;57:222–5.

    PubMed  Google Scholar 

  24. Gupta NP, Mishra S, Seth A, Anand A. Percutaneous nephrolithotomy in abnormal kidneys: single-center experience. Urology. 2009;73:710–5.

    Article  PubMed  CAS  Google Scholar 

  25. Cass AS. Extracorporeal shock wave lithotripsy for renal stones with renal cysts present. J Urol. 1995;153:599–601.

    Article  PubMed  CAS  Google Scholar 

  26. Delakas D, Daskalopoulos G, Cranidis A. Extracorporeal shock wave lithotripsy for urinary calculi in autosomal dominant polycystic kidney disease. J Endourol. 1997;11:167–70.

    Article  PubMed  CAS  Google Scholar 

  27. Al-Kandari AM, Shoma AM, Eraky I, El-Kenawy MR, Al-Eezi H, El-Kappany HA. Percutaneous nephrolithotomy for management of upper urinary tract calculi in patients with autosomal dominant polycystic kidney disease. J Urol. 2009;2:273–7.

    Google Scholar 

  28. Umbreit EC, Childs MA, Patterson DE, Torres VE, LeRoy AJ, Gettman MT. Percutaneous nephrolithotomy for large or multiple upper tract calculi and autosomal dominant polycystic kidney disease. J Urol. 2010;183:183–7.

    Article  PubMed  Google Scholar 

  29. Deliveliotis C, Argiropoulos V, Varkarakis J. Extracorporeal shock wave lithotripsy produces a lower stone-free rate in patients with stones and renal cysts. Int J Urol. 2002;9:11–4.

    Article  PubMed  Google Scholar 

  30. Binbay M, Istanbulluoglu O, Sofikerim M, Beytur A, Skolarikos A, Akman T, et al. Effect of simple malrotation on percutaneous nephrolithotomy: a matched pair multicenter analysis. J Urol. 2011;185:1737–41.

    Article  PubMed  Google Scholar 

  31. Rubin JI, Arger PH, Pollack HM, Banner MP, Coleman BG, Mintz MC, et al. Kidney changes after extracorporeal shock wave lithotripsy: CT evaluation. Radiology. 1987;162:21–4.

    PubMed  CAS  Google Scholar 

  32. Kaude JV, Williams CM, Millner MR, Scott KN, Finlayson B. Renal morphology and function immediately after extracorporeal shock-wave lithotripsy. AJR. 1985;145:305–13.

    PubMed  CAS  Google Scholar 

  33. Williamson BR, Paling MR, Lippert MC, Jenkins AD. Computerized tomographic appearance of renal cysts after extracorporeal shock wave lithotripsy. South Med J. 1990;83:287–9.

    Article  PubMed  CAS  Google Scholar 

  34. Grasso M, Loisides P, Beaghler M, Bagley D. The case for primary endoscopic management of upper urinary tract calculi: I. A critical review of 121 extracorporeal shock-wave lithotripsy failures. Urology. 1995;45:363–71.

    Article  PubMed  CAS  Google Scholar 

  35. Kuo RL, Aslan P, Zhong P, Preminger GM. Impact of holmium laser settings and fiber diameter on stone fragmentation and endoscope deflection. J Endourol. 1998;12:523–7.

    Article  PubMed  CAS  Google Scholar 

  36. Stern JM, Yiee J, Park S. Safety and efficacy of ureteral access sheaths. J Endourol. 2007;21:119–23.

    Article  PubMed  Google Scholar 

  37. Kourambas J, Delvecchio FC, Munver R, Preminger GM. Nitinol stone retrieval-assisted ureteroscopic management of lower pole renal calculi. Urology. 2000;56:935–9.

    Article  PubMed  CAS  Google Scholar 

  38. Raj GV, Auge BK, Weizer AZ, Denstedt JD, Watterson JD, Beiko DJ, et al. Percutaneous management of calculi within horse shoe kidneys. J Urol. 2003;170:48–51.

    Article  PubMed  Google Scholar 

  39. Munver R, Delvecchio FC, Newman GE, Preminger GM. Critical analysis of supracostal access for percutaneous renal surgery. J Urol. 2001;166:1242–6.

    Article  PubMed  CAS  Google Scholar 

  40. El-Nahas AR, Shokeir AA, El-Assmy AM, Shoma AM, Eraky I, El-Kenawy M, et al. Colonic perforation during percutaneous nephrolithotomy: study of risk factors. Urology. 2006;67:937–41.

    Article  PubMed  Google Scholar 

  41. Skoog SJ, Reed MD, Gaudier Jr FA, Dunn NP. The posterolateral and the retrorenal colon: implication in percutaneous stone extraction. J Urol. 1985;134:110–2.

    PubMed  CAS  Google Scholar 

  42. Esghi AM, Roth JS, Smith AD. Percutaneous transperitoneal approach to a pelvic kidney for endourological removal of a staghorn calculus. J Urol. 1985;134:525.

    Google Scholar 

  43. Kamat N, Khandelwal P. Laparoscopic pyelolithotomy: a technique for the management of stones in the ectopic pelvic kidney. Int J Urol. 2004;11:581–4.

    Article  PubMed  Google Scholar 

  44. Chang TD, Dretler SP. Laparoscopic pyelolithotomy in an ectopic kidney. J Urol. 1996;156:1753.

    Article  PubMed  CAS  Google Scholar 

  45. Harmon WJ, Kleer E, Segura JW. Laparoscopic pyelolithotomy for calculus removal in a pelvic kidney. J Urol. 1996;155:2019.

    Article  PubMed  CAS  Google Scholar 

  46. Hoenig DM, Shalhav AL, Elbahnasy AM, McDougall EM, Clayman RV. Laparoscopic pyelolithotomy in a pelvic kidney: a case report and review of the literature. JSLS. 1997;1:163–5.

    PubMed  CAS  Google Scholar 

  47. Gupta N, Yadav R, Singh A. Laparoscopic transmesocolic pyelolithotomy in an ectopic pelvic kidney. JSLS. 2007;11:258–60.

    PubMed  Google Scholar 

  48. Dos Santos AR, Rocha Filho DC, Tajra LC. Management of lithiasis in pelvic kidney through laparoscopy-guided percutaneous transperitoneal nephrolithotripsy. Int Braz J Urol. 2004;30:32–4.

    PubMed  Google Scholar 

  49. Troxel SA, Low RK, Das S. Extraperitoneal laparoscopy-assisted percutaneous nephrolithotomy in a left pelvic kidney. J Endourol. 2002;16:655–7.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt

    Ahmed R. El-Nahas M.D. & Ahmed A. Shokeir M.D., Ph.D., FEBU

Authors
  1. Ahmed R. El-Nahas M.D.
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  2. Ahmed A. Shokeir M.D., Ph.D., FEBU
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Corresponding author

Correspondence to Ahmed A. Shokeir M.D., Ph.D., FEBU .

Editor information

Editors and Affiliations

  1. Department of Surgery Section of Urology, Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, 74800, Pakistan

    Jamsheer J. Talati

  2. Karolinska Institutet, Solnavägen 1, Solna, Stockholm, 171 77, Sweden

    Hans-Goran Tiselius

  3. , Syracuse University, Crouse Hospital, 1226 East Water Street, New York, 13210, New York, USA

    David M. Albala

  4. , Department of Urology, Tongji Hospital, 1095 Jiefang Avenue, Wuhan, 430030, China, People's Republic

    ZHANGQUN YE

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El-Nahas, A.R., Shokeir, A.A. (2012). Minimally Invasive Treatment of Calculi in Renal Anomalies. In: Talati, J., Tiselius, HG., Albala, D., YE, Z. (eds) Urolithiasis. Springer, London. https://doi.org/10.1007/978-1-4471-4387-1_73

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  • DOI: https://doi.org/10.1007/978-1-4471-4387-1_73

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4383-3

  • Online ISBN: 978-1-4471-4387-1

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