Renal Autotransplantation with Direct Pyelocystostomy in Patients with Recurrent Renal Calculi
Despite adequate prophylactic treatment, many stone patients continue to form stones and require repeated lithotomies. The recurrence rate may even increase with time because of postoperative scarring and obstruction. Bilateral stones are common and parenchyma-saving surgery should therefore be performed whenever feasible. Extended pyelolithotomy1, nephrolithotomy under hypothermia2 and anatrophic nephrotomy3 have improved the completeness of stone removal. These methods, however, do not promote spontaneous stone passage. The use of autotransplantation of the kidney and a direct pyelocystostomy, described in the present report, aims at radical stone removal and constitutes a reprequisite for future spontaneous stone passage. The procedure has also been recommended for the treatment of urothelial tumors of the upper urinary tract4 and after unsuccessful pyeloplasty5. A preliminary report on this procedure in treating patients with recurrent stones was given in 19816.
KeywordsRenal Pelvis Stone Removal Recurrent Stone Stone Patient Urothelial Tumor
Unable to display preview. Download preview PDF.
- 3.M. J. V. Smith and W. H. Boyce, Trans. Am. Ass. Genito. Surg. 59:18 (1967).Google Scholar
- 4.S. Pettersson, H. Brynger, C. Henriksson, S. L. Johansson, A. E. Nilson, and T. Ranch. Cancer (in press).Google Scholar
- 6.S. Pettersson, H. Brynger, L. E. Gelin, A. E. Nilson, and T. Ranch, Scand. J. Urol. Nephrol. Suppl. 60:39 (1981).Google Scholar
- 7.S. Pettersson, in: “International Perspectives in Urology: Renal Preservation”, M. Marberger and K. Dreikorn, eds., Williams & Wilkins., Baltimore (1983).Google Scholar