Percutaneous nephrolithotomy for large or multiple upper tract calculi and autosomal dominant polycystic kidney disease

The Journal of Urology
Eric C UmbreitMatthew T Gettman

Abstract

Percutaneous nephrolithotomy is standard therapy for upper tract calculi larger than 2 cm. However, the role of percutaneous nephrolithotomy in patients with autosomal dominant polycystic kidney disease has not been well evaluated. We report our experience with percutaneous nephrolithotomy in patients with autosomal dominant polycystic kidney disease. We retrospectively reviewed the charts of all patients with autosomal dominant polycystic kidney disease and subsequent renal calculi managed by percutaneous nephrolithotomy from October 1981 to the present. We identified 9 patients. Percutaneous nephrolithotomy was performed in 11 kidneys. Flank pain was the presenting symptom in 6 patients. Average stone burden was 2.5 cm (range 1.6 to 3.6). Two access tracts were necessary in 5 kidneys. No intraoperative complications occurred. In 2 kidneys a second stage endoscopic procedure with ultrasonic lithotripsy was required to achieve stone-free status. Nephrostogram 24 hours after the final procedure showed no residual stone fragments in 9 of 11 kidneys (82%). The remaining 2 patients underwent percutaneous basket extraction to render them stone-free. There were no postoperative complications or recurrent stones. No patient required b...Continue Reading

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Citations

Nov 22, 2011·International Urology and Nephrology·Aneesh SrivastavaRakesh Kapoor
Sep 8, 2010·Journal of Endourology·Uwais B Mufti, Sarath K Nalagatla
Nov 28, 2012·The Urologic Clinics of North America·Yung K TanMantu Gupta
Jan 1, 2016·Seminars in Nephrology·Andrew MallettGopala K Rangan
Oct 11, 2017·Nature Reviews. Nephrology·Matthew B Lanktree, Arlene B Chapman
Sep 15, 2015·Korean journal of urology·Bum Soo Kim
Aug 6, 2020·Canadian Journal of Kidney Health and Disease·Vinusha KalatharanAmit X Garg
Jan 22, 2011·Current Opinion in Urology·Cecilia M CraccoRoberto M Scarpa
Jun 9, 2016·Open Access Macedonian Journal of Medical Sciences·Valbona BajramiMyftar Barbullushi
Feb 3, 2011·Current Opinion in Urology

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