The experiences of endourologic management and extracorporeal shock wave lithotripsy to the complications in horseshoe kidneys / 대한비뇨기과학회지

ABSTRACT

Due to recently advanced endourologic development. most patients with complications in horsehoe kidney can be managed with endourologic treatment and ESWL. From June 1986 to June 1990, 26 kidney units in 23 patients with horseshoe kidney were evaluated. They were treated in 6 kidney units with open surgery, 6 kidney units with endoscopic surgery, 6 kidney units with ESWL, 2 kidney units with combination of percutaneous nephrolithotomy and ESWL and 1 kidney units with combination of nephrolithotomy and ESWL, respectively. Of 14 kidney units with endourologic management and ESWL, the complications in 13 kidney units were managed successfully. The percutaneous nephrolithotomy, endopyelotomy and ureterorenoscopic management in horseshoe kidneys do not carry a greater risk than that reported for normal kidneys. In ESWL, focal pointing of the calculi may be difficult due to increased distance between the flank and renal calculi. But without major technical modification, stones in a horseshoe kidney may be treated by ESWL. In conclusion, most patients with calculi or obstruction in horseshoe kidneys can be managed primarily with endoscopic surgery or ESWL.