Calyco-ureteroplasty in the management of selected renal calculi

Calyco-ureteroplasty was performed in 15 renal calculi patients with grossly deformed upper tracts. The procedure aimed to achieve total clearance of calculi, preserve renal function and check stone recurrence. At follow-up from 6 months to 7 years, there was no stone recurrence and all the patients maintained sterile urine cultures. There was both biochemical and radiological improvement in renal function. It is felt that this procedure may have a role in rehabilitating diseased renal units, preserves renal function and involves no parenchymal loss.