Please use this identifier to cite or link to this item: http://scholarbank.nus.edu.sg/handle/10635/134103
Title: Stones in horseshoe kidneys: Results of treatment by extracorporeal shock wave lithotripsy and endourology
Authors: Esuvaranathan, K. 
Tan, E.C. 
Tung, K.H. 
Foo, K.T.
Keywords: Endoscopy
Extracorporeal shockwave lithotripsy
Kidney calculi
Lithotripsy
Issue Date: 1991
Source: Esuvaranathan, K., Tan, E.C., Tung, K.H., Foo, K.T. (1991). Stones in horseshoe kidneys: Results of treatment by extracorporeal shock wave lithotripsy and endourology. Journal of Urology 146 (5) : 1213-1215. ScholarBank@NUS Repository.
Abstract: We report the results of 7 patients with calculi in a horseshoe kidney treated by extracorporeal shock wave lithotripsy (ESWL,* 9 renal units) and percutaneous nephrolithotripsy (3 renal units) during a 3-year period. In the ESWL only group complete stone clearance was achieved in only 3 patients (50%) after an average of 3 sessions of therapy. On the other hand, complete stone clearance was achieved by percutaneous nephrolithotripsy with minimal complications. The poorer results with ESWL were due to difficulty in ultrasonographic localization of stones as well as poor drainage in these abnormal kidneys. Our experience with the Edap LT01 and the Sonolith 2000 lithotriptors suggests that while reasonable results are possible, treatment probably will require multiple sessions and the eventual outcome is less predictable than in normal kidneys. In contrast, the treatment of complicated stones in a horseshoe kidney presents no additional difficulty.
Source Title: Journal of Urology
URI: http://scholarbank.nus.edu.sg/handle/10635/134103
ISSN: 00225347
Appears in Collections:Staff Publications

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