The Case for a More Aggressive Approach to Staghorn Stones

Blandy, J. P.; Singh, Manmeet

doi:10.1016/s0022-5347(17)59258-7

Cited by 196 publications

(67 citation statements)

References 7 publications

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“…In 1996, 9.4% of urology residents were female, which had more than doubled to 21% by 2007 [1]. Presumably, with more women entering residencies, more women urologists are seeking fellowship training and careers in academic urology.…”

Section: Introductionmentioning

confidence: 99%

The natural history of untreated renal tract calculi

Keoghane¹,

Walmsley²,

Hodgson³

2010

BJU International

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Section: Introductionmentioning

confidence: 99%

The natural history of untreated renal tract calculi

Keoghane¹,

Walmsley²,

Hodgson³

2010

BJU International

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“…The conventional wisdom that there is a silent stag horn stone has changed, and now it is admitted that the stone poses an ever present threat to the kidney and, indeed, to the life of the patient [1,6].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical removal of renal calculi is an essential ele ment in the successful management of patients with cal culous disease [1,10], Although numerous reports have been published describing various techniques to treat staghorn calculi, anatrophic nephrolithotomy techniques in renal ischemia and hypothermia are generally associ ated with better results in the management of this dis ease [2][3][4].…”

mentioning

confidence: 99%

Staghorn Calculi: Percutaneous versus Anatrophic Nephrolithotomy

Gc²,

Pc³

et al. 1988

Eur Urol

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“…Table 2 shows bacteria-producing urease, an enzyme that splits up urea to produce ammonium ions. As the 20-year mortality rate in patients with conservatively managed staghorn calculi is 28% [34] , treatment of struvite stones should include surgery. A combination of percutaneous nephrolithotomy and ESWL, using a sandwich technique, produces a reported stone-free rate of 90% [35] .…”

Section: Infection-related Nephrolithiasismentioning

confidence: 99%

Metaphylaxis of Nephrolithiasis

Jacobellis

2007

Urol Int

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The introduction of extracorporeal shockwave lithotripsy (ESWL), with its noninvasive removal of stones and considerable reduction in the morbidity of stone disease, has revolutionized the therapy of urolithiasis. Unfortunately the propensity for stone recurrence is not altered by removal of stones with ESWL and stone recurrence is still about 50%. Progress in medical treatment has shown how different therapies can prevent the stone recurrence, even though it is often difficult to predict which patient will go on to become a recurrent stone former. With the right evaluation, however, the cause of calculi formation can be treated in 97% of the patients. Primary prevention of urolithiasis includes general prophylaxis in a no-risk population that has never been affected by urinary tract stones, is without familial predisposition, metabolic or genetic alterations, or urinary tract abnormalities or infections and who live in a geographical area that is at risk. Secondary prevention or metaphylaxis of stone disease is aimed at the population at risk, that is patients already affected by the stone disease, with familial predisposition, with urinary tract alterations, with metabolic or genetic alterations (gout, bone or bowel diseases) and urinary infection.

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The Case for a More Aggressive Approach to Staghorn Stones

Cited by 196 publications

References 7 publications

The natural history of untreated renal tract calculi

The natural history of untreated renal tract calculi

Staghorn Calculi: Percutaneous versus Anatrophic Nephrolithotomy

Metaphylaxis of Nephrolithiasis

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