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Advances in Management of Staghorn Calculi

  • Raju Thomas
  • Joseph N. MacalusoJr.

Abstract

The results of various treatment options (percutaneous techniques alone, ESWL monotherapy, and combined percutaneous techniques, and ESWL) for 112 patients with staghorn calculi are reported. Residual fragments remained in 35% of patients treated with ESWL monotherapy, 14% of patients treated with combination therapy, and 11% of patients treated with percutaneous techniques alone. The need for blood transfusions correlated with the invasiveness of the procedure.

The preferred technique for the management of staghorn calculi is one-tract percutaneous debulking followed by ESWL, if necessary.

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Bibliography

  1. Kahnoski RJ, Lingeman JE, Coury TA, et al: Combined percutaneous and extracorporeal shock wave lithotripsy for staghorn calculi: an alternative to anatrophic nephrostolithotomy. J Urol 135: 679, 1986.PubMedGoogle Scholar
  2. Lingeman JE: Use of extracorporeal shock wave lithotripsy in staghorn calculi and other complex stones. Seminars in Urology 4: 148, 1986.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • Raju Thomas
    • 1
  • Joseph N. MacalusoJr.
    • 1
  1. 1.Department of UrologyTulane University School of MedicineNew OrleansUSA

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