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- Title
Case of the Month from Duke University Medical Centre: a complete renal staghorn stone.
- Authors
Whelan, Patrick; Preminger, Glenn M.
- Abstract
Abbreviation PCNL percutaneous nephrolithotomy Introduction Staghorn renal stones occupy the entirety of the intra-renal collecting system and are historically encountered in patients with recurrent UTIs due to protease-forming organisms, or severe metabolic or genetic defects. Surgical treatment of complex staghorn stones is recommended to prevent renal deterioration, infectious complications and associated morbidity and mortality, with percutaneous nephrolithotomy (PCNL) being the preferred mode of stone removal over ureteroscopy, shock wave lithotripsy or open stone surgery. Acethydroxamic acid, suppressive antibiotics and alkali therapy (when metabolically appropriate) have been shown to decrease stone recurrence and stone-related episodes in residual struvite staghorn stones [7]. Although the patient's renal function was normal, given the size of stone and continued haematuria, we recommended stone removal to prevent potential loss of renal function, resolve her haematuria (pending cystoscopy) and help prevent future episodes of pyelonephritis and/or symptomatic UTI.
- Subjects
DUKE University; KIDNEY stones; PERCUTANEOUS nephrolithotomy; BACTERIURIA; URINARY tract infections; COMPUTED tomography
- Publication
BJU International, 2021, Vol 128, Issue 1, p25
- ISSN
1464-4096
- Publication type
Article
- DOI
10.1111/bju.15360