Treatment of staghorn calculi: 71 cases

Objective: We retrospectively investigated 63 patients suffering from 71 st aghorn calculi, who were treated with primary surgical monotherapy, in orde r to determine long-term. results and the fate of the residual stones. Material and methods: Mean follow-up was 2.6 years. There were 63 patients (32 men, 31 women). The treatment was pyelolithotomy alone in 26 cases; nep hrolithotomy alone in 14 cases; pyelolithotomy associed with nephrolithotom y in 18 cases; percutaneous nephrolithotomy (PCNL) in two cases; extracorpo real shockwave lithotripsy (ESWL) in one case; and nephrectomy in ten cases . Results: At the conclusion of therapy the stone-free rate was 94.1%. The co mplication was septic complications in 12 patients, hemorrhage that needed transfusion in five case and fistula in one case. After four and six years, two patients developed renal insufficiency and two patients had a recurren ce of stones. Conclusion: Primary surgery of complex staghorn calculi is justified becaus e of its better results than PCNL associated with ESMIL. (C) 2000 Editions scientifiques et medicales Elsevier SAS.