To present single center experience of urolithiasis management in anomalous kidneys, highlighting the need for algorithm-based approach in deciding the modality to be used in treatment planning.
We retrospectively reviewed data of all the patients who presented to our anomalous renal unit with urolithiasis from January 1990 to July 2014. Perioperative features of all the patients along with management was studied.
Percutaneous nephrolithotomy (PCNL) was the most common surgical modality used followed by flexible ureteroscopy. Pain was the most common presentation in these patients. The overall stone clearance rates of PCNL and flexible ureterorenoscopy (FURS) was 85.8% in cases of anomalous kidneys in our series. The stone clearance rate in ectopic kidneys, horseshoe kidneys, malrotated kidneys, and autosomal dominant polycystic kidneys with PCNL (86%, 88%, 76%, and 83%, respectively) and FURS (81.2%, 80%, 92%, and 100%, respectively) were comparable in each group. Based on our results we have developed a stone management algorithm.
The management of renal calculi in patients with renal anomalies may vary based on the stone size, location, density, PCS anatomy, and drainage. An algorithm-based approach could help surgeons to decide the choice of appropriate treatment modality in this population. This article is protected by copyright. All rights reserved.
BJU international. 2018 Oct 03 [Epub ahead of print]
Abhishek G Singh, Ankush Jairath, S B Sudharshan, Gopal Tak, Arvind P Ganpule, Mohankumar Vijayakumar, Ravindra B Sabnis, Mahesh R Desai
MCH, Fellow Endourology and Laparoscopy, Department of Urology, MPUH, Nadiad., Consultant Urologist,Department of Urology, Astha Hospital, Ludhiana., Consultant, Department of Urology, MPUH, Nadiad., DNB, Vice Chairman Department of Urology, MPUH, Nadiad., MCH Chairman Department of Urology, MPUH, Nadiad., FRCS, Medical Director Department of Urology, MPUH, Nadiad.