Advances in Management of Staghorn Calculi
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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