9 year's experience with management of branching stones

ABSTRACT

102 patients having staghorn stones were managed, between 1975, 1984. Patients were evaluated medically, radiologically, bacteriologically and their renal function was assessed by creatinine clearance and in some cases by renogram. Different lines of management were utilized. Extended pyelolithotomy in 30 cases, Extended pyelotomy and multiple nephrotomies in 3, anatrophic nephrotomy in 23, lower polar partial nephrectomy in 15, nephrectomy in 17 and medical treatment in 19 patients. [5 patients underwent two operations]. 75 patients could be followed up using the same preoperative investigation with the addition of typing of the incecting organism. Residual stones were within the reported figures 29.5%. Infection was controlled after surgery from 80% but it increased with medical treatment. Morbidity was minimal and no mortality was reported among cases treaed surgically