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Management of staghorn calculus: single puncture with judicious use of the flexible nephroscope
Steve K Williams1, Raymond J Leveillee
1Department of Urology, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Purpose Of Review:
To focus on the technique and results of a single percutaneous puncture for the management of staghorn renal calculi.
Recent Findings:
The success rate for treating staghorn calculi with a single percutaneous puncture is over 90%. Animal and clinical studies seem to suggest that a single percutaneous access may be associated with reduced morbidity when compared with multiple percutaneous access punctures.
Summary:
A single percutaneous access, whenever feasible, offers reduced morbidity without compromising excellent stone-free rates in the management of staghorn calculi.
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