Percutaneous Nephrolithotomy and the Solitary Kidney

No AccessJournal of Urology1 Mar 1991Percutaneous Nephrolithotomy and the Solitary Kidney David J. Jones, Michael J. Kellett, and John E.A. Wickham David J. JonesDavid J. Jones , Michael J. KellettMichael J. Kellett , and John E.A. WickhamJohn E.A. Wickham View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)38372-6AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We reviewed 53 patients with stones in a solitary kidney who had undergone percutaneous nephrolithotomy. Previous surgery on that kidney had been performed in 35.8%, and 50.9% had other medical conditions including 26.4% who had impaired renal function. Staghorn or partial staghorn calculi were present in 52.9% and an additional 18.8% had multiple stones. Postoperative complications in 18.8% of the patients included sepsis, the need for transfusion and 1 death of bronchopneumonia. Percutaneous nephrolithotomy alone resulted in a 77.3% rate free of stone or fragments of 24mm. or less. This rate increased to 86.8% with the addition of extracorporeal shock wave lithotripsy, ureteroscopy or open surgery (2 patients). Only 1 patient suffered long-term deterioration in renal function. Percutaneous nephrolithotomy is a safe procedure in the solitary kidney. It should be considered in those patients with complex stone burdens and impaired renal function when reduction in stone bulk and improved renal function may allow other treatment modalities to be used. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byXue W, Pacik D, Boellaard W, Breda A, Botoca M, Rassweiler J, Van Cleynenbreugel B and de la Rosette J (2018) Management of Single Large Nonstaghorn Renal Stones in the CROES PCNL Global StudyJournal of Urology, VOL. 187, NO. 4, (1293-1297), Online publication date: 1-Apr-2012.Sairam K, Scoffone C, Alken P, Turna B, Sodha H, Rioja J, Wolf J and de la Rosette J (2018) Percutaneous Nephrolithotomy and Chronic Kidney Disease: Results from the CROES PCNL Global StudyJournal of Urology, VOL. 188, NO. 4, (1195-1200), Online publication date: 1-Oct-2012.Canes D, Hegarty N, Kamoi K, Haber G, Berger A, Aron M and Desai M (2018) Functional Outcomes Following Percutaneous Surgery in the Solitary KidneyJournal of Urology, VOL. 181, NO. 1, (154-160), Online publication date: 1-Jan-2009.LIOU L and STREEM S (2018) LONG-TERM RENAL FUNCTIONAL EFFECTS OF SHOCK WAVE LITHOTRIPSY, PERCUTANEOUS NEPHROLITHOTOMY AND COMBINATION THERAPY: A COMPARATIVE STUDY OF PATIENTS WITH SOLITARY KIDNEYJournal of Urology, VOL. 166, NO. 1, (33-37), Online publication date: 1-Jul-2001.Goel M, Ahlawat R, Kumar M and Kapoor R (2018) Chronic Renal Failure and Nephrolithiasis in a Solitary Kidney: Role of InterventionJournal of Urology, VOL. 157, NO. 5, (1574-1577), Online publication date: 1-May-1997.Streem S and Geisinger M (2018) Combination Therapy for Staghorn Calculi in Solitary Kidneys: Functional Results with Long-Term FollowupJournal of Urology, VOL. 149, NO. 3, (449-452), Online publication date: 1-Mar-1993.Zanetti G, Montanari E, Guarneri A, Trinchieri A, Mandressi A and Ceresoli A (2018) Long-Term Followup after Extracorporeal Shock Wave Lithotripsy Treatment of Kidney Stones in Solitary KidneysJournal of Urology, VOL. 148, NO. 3 Part 2, (1011-1014), Online publication date: 1-Sep-1992.Schow D, Vinson R and Morrisseau P (2018) Percutaneous Renal Biopsy of the Solitary Kidney: A Contraindication?Journal of Urology, VOL. 147, NO. 5, (1235-1237), Online publication date: 1-May-1992. Volume 145Issue 3March 1991Page: 477-479 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordskidney calculilithotripsyMetricsAuthor Information David J. Jones More articles by this author Michael J. Kellett More articles by this author John E.A. Wickham More articles by this author Expand All Advertisement PDF downloadLoading ...