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Review
, 54 (9), 937-50

[Infective Lithiasis. Treatment and Complications]

[Article in Spanish]
Affiliations
  • PMID: 11789372
Review

[Infective Lithiasis. Treatment and Complications]

[Article in Spanish]
F J Ruiz Marcellan et al. Arch Esp Urol.

Abstract

Objective: To establish the criteria for treatment of staghorn stones according to stone surface and distribution in cadaver kidneys.

Methods: Retrospective study of 344 cases treated from 1985 to 1992 and classified into two groups according to treatment by extracorporeal lithotripsy or by percutaneous nephrolithotomy (PNL).

Results: Mean age 48.69 years, prevalence of females and positive urinary culture in almost 70%, mainly Proteus. Stone composition was varied, but mainly magnesium ammonium phosphate. Treatment was by extracorporeal lithotripsy in 80.81% and by PNL in 19.9%.

Conclusions: Treatment of this type of lithiasis should be by combined surgical removal and medical treatment. Lithotripsy is advocated for large caliceal calculi and PNL for large pyelic calculi.

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