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Supine percutaneous nephrolithotomy in horseshoe kidney
Nadeem Sohail1, Amjad Albodour2, Khalid M Abdelrahman2
1Urology Section, Alkhor Hospital, Hamad Medical Corporation, Doha, Qatar.
Journal of Taibah University Medical Sciences
|August 23, 2019
Summary
Percutaneous nephrolithotomy (PCNL) successfully treated large kidney stones in a patient with a horseshoe kidney. This minimally invasive procedure offered complete stone removal with reduced procedure time and hospital stay.
Area of Science:
- Nephrology
- Urology
- Minimally Invasive Surgery
Background:
- Horseshoe kidney is a congenital anomaly that can predispose patients to nephrolithiasis.
- Recurrent kidney stones pose a significant clinical challenge, especially after failed treatments like extracorporeal shockwave lithotripsy (ESWL).
Observation:
- A 45-year-old male presented with chronic left loin pain due to large (1.5 cm) kidney stones within a horseshoe kidney.
- Previous extracorporeal shockwave lithotripsy (ESWL) attempts were unsuccessful in clearing the stones.
Findings:
- Percutaneous nephrolithotomy (PCNL) in the supine position achieved complete stone clearance.
- The procedure was associated with a shorter operative time and hospital stay compared to traditional methods.
- No perioperative or post-operative complications were observed.
Implications:
- Percutaneous nephrolithotomy (PCNL) is an effective treatment option for complex kidney stones in patients with horseshoe kidney.
- Supine PCNL may offer advantages in terms of patient positioning and surgical outcomes.
- This case highlights the potential for improved patient outcomes and resource utilization with advanced minimally invasive techniques.
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