Horseshoe Kidney and Urolithiasis

Evans, William; Resnick, Martin I.

doi:10.1016/s0022-5347(17)55139-3

Cited by 84 publications

(48 citation statements)

References 9 publications

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“…Though the similar metabolic factors of stone disease in anatomically normal kidneys are also involved in horseshoe kidneys, according to Evans and Resnick [5], the incidence of calculous disease in the horseshoe kidney has been reported to vary from 21 to more than 60% [6,7], Urinary stasis and infection are considered the pri mary factors because of the abnormal course of the renal pelvis and ureter. Glenn [8] has reported incidences of 35.3% for obstruction and 41.2% for urinary tract infec tion.…”

Section: Horseshoe Kidneysmentioning

confidence: 99%

Experience Using Extracorporeal Shock-Wave Lithotripsy to Treat Urinary Calculi in Problem Kidneys

et al. 1993

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Seventeen patients with urolithiasis in problem kidneys which comprised horseshoe kidneys, medullary sponge kidneys (MSKs), polycystic kidneys and duplex kidneys presented to our hospital and were evaluated for treatment with extracorporeal shock-wave lithotripsy (ESWL). A total of 21 renal units were treated with ESWL. Auxiliary procedures included preoperative retrograde ureteral catheterization (1 horseshoe kidney) placement of a retrograde double-J catheter stent (1 MSK), percutaneous nephrolithotomy (PCNL; 2 MSKs) and postoperative PCNL (1 MSK). The outcome showed that 5 renal units (23.8%) were stone free, 15 renal units (71.4%) had a decreased stone load with residual sotne and improved symptoms, and 1 renal unit (4.8%) had residual stone with persistent symptoms. We conclude that ESWL can be used as a primary management tool for calculi in problem kidneys.

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Section: Horseshoe Kidneysmentioning

confidence: 99%

Experience Using Extracorporeal Shock-Wave Lithotripsy to Treat Urinary Calculi in Problem Kidneys

et al. 1993

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“…High allocation of ureter and isthmus in horseshoe kidney is a cause of partial obstruction and stasis; moreover, arterial and venous anomalies can accompany this situation, which increase the possibility of infection and stones in horseshoe kidney [3]. There are studies that argue that metabolic factors contribute to stone formation in horseshoe kidney [13]. However, it is thought that the main reason is obstruction and stasis.…”

Section: Discussionmentioning

confidence: 99%

The success of extracorporeal shock wave lithotripsy at stones up to 10 mm in horseshoe kidneys

Çoban¹,

Türkoğlu²,

Öner³

et al. 2016

Med-Science

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Aim of this study is to research retrospectively the effectiveness of extracorporeal shock wave lithotripsy (SWL) for horseshoe kidney according to the size of stones. SWL treatment applied on 27 kidney stones in 21 patients at a single center were examined retrospectively. Stones were classified according to their size, the number of shock waves applied and average session number. The mean age of the patients was 44 (18-70). Stone sizes were 16mm (7-40) X 10mm (5-30). Average of sessions was 2.55 (1-3) and shock number was 1643 (977-2300). The success rate of SWL treatment at horseshoe kidney stones which were under 10 mm was 90% and for over 10 mm it was 30% (p=0.001). Success rates were detected 63%, 52% and 48%; respectively up to 0-15 mm, 0-20mm and for all stones. The SWL success rate with horseshoe kidney is similar to that in normal kidney. The success rate decreases as stone size increases. SWL is a safe and effective treatment option for horseshoe kidney stones. Especially for stones up to 10 mm, the rate of SWL's success rate is pretty high.

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“…Although this anomaly is neither immune nor suceptible to the common diseases or disor ders which affect the normal kidney, a higher incidence of hydronephrosis has been encountered, related to high insertion of the ureter, the anterior course of ureter over the isthmus and anomalous blood vessels [1], Stone formation and urinary tract infection are sequel ae of stasis. However, Evans and Resnick [2] observed that similar metabolic parameters governing stone disease in anatomically normal kidneys are also operative in the horseshoe kidney. Higher incidence of renal pelvic carci-noma in horseshoe kidney has been reported.…”

Section: Discussionmentioning

confidence: 99%