[Place of percutaneous nephrolithotomy in the treatment of staghorn stones. about 83 cases]

ABSTRACT

Staghorn stone is considered as a dreadful type of renal stones. The choice of the best treatment is always difficult. To evaluate the results of percutaneous nephrolithotomy in the treatment of staghorn stones. We report 83 cases of staghorn stones that were treated by percutaneous nephrolithotomy during a period of 10 years from 1994 to 2004. The mean age was 44 years and sex-ratio was 2.2. The right kidney was treated alone in 42% of cases, the left one in 56% of cases and both kidneys in only two cases. The mean area of stones was 6,6 cm[2]. One renal puncture was necessary in 97% of cases. The rate of stone free after percutaneous nephrolithotomy only was about 54% and when combined with lithotripsy the rate was 64%. Combined treatment using percutaneous nephrolithotomy and lithotripsy is considered as the best procedure for staghorn stones treatment