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Year : 1997  |  Volume : 13  |  Issue : 2  |  Page : 67-70

Horseshoe kidney : impact of endourology for stone disease.


Department of Urology SGPGIMS Raebareli Road,Lucknow. INDIA, India

Correspondence Address:
R Ramanathan
Department of Urology SGPGIMS Raebareli Road,Lucknow. INDIA
India
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Source of Support: None, Conflict of Interest: None


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Twenty-three patients with proven horseshoe kidney were treated at our hospital between 1988 and 1994.Stone disease was seen in 17 patients (74 percent) and was bilateral in 8 patients (total 25 renal units).Twelve of these units were managed by pyelolithotomy while the rest were treated with endourological techniques (Lithotripsy,Percutaneous Nephrolithotomy,and Ureteroscopy).The complication rate and residue rates were comparable in the two groups,but the requirment of ancillary procedures was significantly higher in the endourology group (p0.01) thereby escalating the cost of treatment by a factor of 2. Percutaneous access was not a problem in any patient.Percutancous surgery for horseshoe kidney is now well established and may well become the procedure of choice for the treatment of stones associated with this anomaly.


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