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Outcome of percutaneous nephrolithotomy in anomalous kidney: Is it different?

Gaurav Prakash1, Rahul Janak Sinha1, Ankur Jhanwar1

  • 1Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Urology Annals
|February 21, 2017
PubMed

Insights

Percutaneous nephrolithotomy (PCNL) is safe for anomalous kidneys, despite challenges. Careful planning and vigilance are key for successful stone removal in these complex cases.

Area of Science:

  • Urology
  • Nephrology
  • Surgical Procedures

Background:

  • Anomalous kidney conditions like horseshoe kidney are often linked to kidney stone disease.
  • The abnormal kidney orientation in these cases presents significant challenges for percutaneous nephrolithotomy (PCNL).

Purpose of the Study:

  • To evaluate the safety and feasibility of PCNL for kidney stone removal in patients with anomalous kidneys.
  • To analyze surgical outcomes, complications, and success rates of PCNL in this patient cohort.

Main Methods:

  • Retrospective analysis of 86 patients undergoing PCNL for stones in anomalous kidneys between 2005-2015.
  • Evaluation of stone characteristics, surgical parameters, complications, and outcomes including stone-free rates.

Main Results:

  • 91 PCNL sessions were performed in 86 patients, including those with horseshoe kidney and bilateral stones.
  • Mean patient age was 29.6 years, with a mean stone size of 4.40 cm and hospital stay of 4.17 days.
  • 16 patients required re-look procedures, with 6 achieving complete stone clearance.

Conclusions:

  • PCNL is a safe and feasible treatment option for kidney stones in anomalous kidneys.
  • Successful outcomes depend on meticulous preoperative planning and diligent intraoperative and postoperative monitoring.
Abstract

Keywords:
Anomalous kidneyhorseshoe kidneypercutaneous nephrolithotomy

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