They can be more serious than other types of. The results of treatment are discussed and compared to those obtained in a group of patients who initially were managed conservatively. Staghorn calculi (struvite stones) are a type of kidney stone that may occur with frequent kidney infections. Complete removal of the calculus and appropriate medical adjunctive therapy should be done early in the course of the disease in an attempt to prevent complications and renal deterioration. Complete staghorn calculus in polycystic kidney disease: infection is still the cause. The kidney was considered to be relatively undamaged in 51 per cent of the cases. Of 84 kidneys submitted for a pathoanatomic study (surgical evaluation and/or histopathology) pyonephrosis was found in 20 per cent, xanthogranulomatous pyelonephritis in 8 per cent, end stage pyelonephritic kidney in 6 per cent, end state hydronephrotic kidney in 7 per cent, severe pyelonephritic changes in 7 per cent and a perinephric abscess in 5 per cent. Clinical complications occurred in 53 per cent of the patients. Only 1 percent of the patients could be defined as having a silent stone calculus. Kidney management percutaneous nephrolithotomy staghorn stone struvite.There were 95 patients (105 kidneys) with staghorn calculi evaluated clinically and 84 kidneys were studied on a pathologic basis. The formation of staghorn calculi within crossed fused kidneys has been reported in few studies. However, there are no guidelines for the treatment of staghorn stones in crossed fused kidney. The decision for optimal treatment of staghorn stones should be individualized according to the circumstances of the patient involved and in order to do so, a closer look at the advantages and disadvantages of each option is necessary. There are six main types of crossed fused kidneys. Other non-surgical options are usually considered in combination with surgery or as monotherapy only if patients are surgically unfit. Percutaneous nephrolithotomy should be the recommended first-line treatment for staghorn stones. They refer to struvite calculi involving the renal pelvis and extending into at least two calyces 7. Generally, the gold standard treatment for staghorn stones is surgical with a view to achieve stone-free collecting system and preserve renal function. Staghorn calculi, also sometimes called coral calculi, are renal calculi that obtain their characteristic shape by forming a cast of the renal pelvis and calyces, thus resembling the horns of a stag. Staghorn stones are, therefore, significant disease entity that should be managed aggressively and effectively. Conversely, conservative treatment has been shown to carry a mortality rate of 28% in 10-year period and 36% risk of developing significant renal impairment. ![]() ![]() Due to the significant morbidity and potential mortality attributed to staghorn stones, prompt assessment and treatment is mandatory. Although kidney stones are commoner in men, staghorn stones are less often reported in men compared to women and they are usually unilateral. Staghorn stones are large branching stones that fill part of all of the renal pelvis and renal calyces and they can be complete or partial depending on the level of occupancy of the collecting system.
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