Thirty patients (16 men and 14 women) with cystine urinary stones were treated by extracorporeal shock wave lithotripsy (Dormer HM-3) from December 1984 through October 1989. The average patient age was 35.2 years with a range of 14 to 59 years. Seventy per cent of these subjects had had previous open surgical operations for stones. The cases consisted of 7 ureteral stones and 37 renal stones, ...

Figure 2. Sutures were buttressed by hemostatic clip instead of knots. Figure 1. Stone was removed from nephrotomy incision on Brodel line. INTRODUCTION In the current age of minimally invasive therapy, it is reasonable to offer open nephrolithotomy as the first line treatment for patients with complete staghorn renal calculi and/or infandibular stenosis. (1) The role of laparoscopic surgery as...

BACKGROUND To present our experience with simultaneous combined minimally invasive percutaneous nephrolithotomy (MPCNL) and retrograde intrarenal surgery (RIRS) to manage patients with staghorn calculi in solitary kidney, and evaluate the safety, efficiency and feasibility of this approach. METHODOLOGY/PRINCIPAL FINDINGS The study included 20 patients with staghorn calculi in solitary kidney....

BACKGROUND Renal staghorn stones are challenging for urologists to ensure maximum stone clearance and minimal morbidity. Percutaneous nephrolithotomy (PCNL) has become the gold standard treatment for renal staghorn stones. To assess the safety and efficacy of a novel integrated rigid and flexible percutaneous nephroscope(Rigi-flex nephroscope) in PCNL for renal staghorn stones.We present our in...

Staghorn stones are large branching that fill part of the entire renal pelvis and calyces can be complete or partial depending on degree occupation collecting system. Although kidney more common in men, coral reported less frequently men than women usually unilateral. Due to significant morbidity potential mortality attributed staghorn stones, prompt evaluation treatment imperative. In general,...

OBJECTIVE Tubeless percutaneous nephrolithotomy (PCNL) has become an option for treatment of renal stone disease, though no clearly defined algorithm exists for selection of patients suitable to tubeless PCNL. We investigated our experience with tubeless PCNL to evaluate its safety and efficacy for cases of complex renal calculi. PATIENTS AND METHODS Retrospective review of all tubeless PCNLs...

Kidney stone is a common problem in population and had medical or surgical treatment. Surgery treatment had many technique, but now, Percutaneous Nephrolithotomy (PCNL) is a standard surgery care of renal calculi. In recent years, surgeons defined modification methods of PCNL such as tubeless PCNL and totally tubeless PCNL. These modified methods were associated with less complication, reduced ...

PURPOSE To stratify complications of percutaneous nephrolithotomy (PCNL) in a single, tertiary hospital by use of the modified Clavien system. MATERIALS AND METHODS From May 1987 to December 2010, 1,236 cases of PCNL were performed at our institute. Medical records were available for 826 cases of PCNL from 698 patients, from February 1995 to December 2010. Using multiple factors, we retrospec...

Giant staghorn common bile duct (CBD) calculi are usually uncommon but can be found in patients with oriental cholangiohepatitis. The size of stone can vary from few millimetres to several centimetres. These are usually pigment stones and patients can present with pain, jaundice and fever or some times Reynold's pentad. Primary bile duct stones form within the bile ducts and usually are of brow...