[Our experience in the treatment of staghorn calculi (1987-2004). Review of our results]. / Nuestra experiencia en el tratamiento de la litiasis coraliforme (1987-2004). revisión de los resultados.

OBJECTIVES: The objective of this work is to analyze the treatment of staghorn calculi at our Department of Urology. We have to know the recent development of endoscopic surgery (percutaneous renal surgery) and external shock wave lithotripsy. METHODS: We reviewed the surgical management of staghorn calculi during the period between 1987 and 2004. RESULTS: Percutaneous renal surgery was performed successfully in 24.1% of the cases. Persisting residual fragments appeared in 75.9% and were treated by ESWL or second endoscopic surgery. CONCLUSIONS: Percutaneous renal surgery may be considered the technique of choice to treat staghorn calculi. Endoscopic surgery has good results and little complications with low morbidity. In other cases the treatment is combined therapy, percutaneous renal surgery and ESWL.

Nuestra experiencia en el tratamiento de la litiasis coraliforme (1987-2004). Revisión de los resultados / Our experience in the treatment of staghorn calculi (1987-2004). Review of our results

Objetivo: Analizar los resultados del tratamiento de la litiasis coraliforme en nuestro servicio atendiendo a los avances tecnológicos que se han producido en los últimos años destacando el papel fundamental que supone el desarrollo de la cirugía endoscópica y de la litotricia extracorpórea por ondas de choque. Métodos: Hemos revisado todos los pacientes tratados de litiasis coraliforme en nuestro servicio entre los años 1987 y 2004. Resultados: Se consiguió la extracción completa con un sólo acto quirúrgico mediante nefrolitotomía percutánea en un 24.1%. En el 75.9% restante se realizó un tratamiento combinado mediante litotricia extracorpórea con ondas de choque o una segunda nefrolitotomía percutánea. Conclusiones: La endourología ha revolucionado el tratamiento de la litiasis coraliforme. Es eficaz sola y en combinación con la LEOC para el manejo de esta patología con un número reducido de complicaciones y una alta tolerabilidad por parte de los pacientes (AU)

Objectives: The objective of this work is to analyze the treatment of staghorn calculi at our Department of Urology. We have to know the recent development of endoscopic surgery (percutaneous renal surgery) and external shock wave lithotripsy. Methods: We reviewed the surgical management of staghorn calculi during the period between 1987 and 2004. Results: Percutaneous renal surgery was performed successfully in 24.1% of the cases. Persisting residual fragments appeared in 75.9% and were treated by ESWL or second endoscopic surgery. Conclusions: Percutaneous renal surgery may be considered the technique of choice to treat staghorn calculi. Endoscopic surgery has good results and little complications with low morbidity. In other cases the treatment is combined therapy, percutaneous renal surgery and ESWL (AU)