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Management of renal caliceal diverticular stones: A decade of experience.
- Source :
-
Urology annals [Urol Ann] 2017 Apr-Jun; Vol. 9 (2), pp. 145-149. - Publication Year :
- 2017
-
Abstract
- Objective: The objective of this study is to evaluate our methods for management of renal caliceal diverticular stones (CDS).<br />Materials and Methods: We conducted a retrospective study from January 2005 to July 2015 and included patients who were treated for renal CDS. Patients were evaluated for treatment modality, puncture site (in case percutaneous nephrolithotomy [PCNL] attempted), operative time, stone clearance rate, and complications. During PCNL, if the infundibulum was found to connect the diverticulum to the calyx, then a double J stent was placed. No attempt was made to dilate the diverticular neck or to create a neoinfundibulum.<br />Results: Twenty-four patients were treated for CDS during the study period. Two patients underwent shockwave lithotripsy, and 22 were managed by PCNL. Mean stone size was 16.37 mm (range: 6-35 mm) and mean diverticulum size was 20.62 mm (range: 12-37 mm). No fulguration was done in initial 17 patients, while fulguration by Holmium Laser was performed in the last five cases treated with PCNL. Mean operative time was 70.31 min (range: 47-90 min). Mean follow-up was 34 months, diverticulum resolved in 14 patients and reduced in size in 7 patients.<br />Conclusion: Caliceal diverticular calculi can be treated most efficiently by PCNL. Stone-guided puncture and no attempt to dilate or create neoinfundibulum reduces operative time and morbidity while yielding high stone-free rate.<br />Competing Interests: There are no conflicts of interest.
Details
- Language :
- English
- ISSN :
- 0974-7796
- Volume :
- 9
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Urology annals
- Publication Type :
- Academic Journal
- Accession number :
- 28479765
- Full Text :
- https://doi.org/10.4103/UA.UA_95_16