Place of percutaneous nephrolithotomy in the treatment of staghorn stones. About 83 cases


Amine Derouiche
Karim Belhadj
Abderrazak Bouzouita
Amine Bouassida
Mohamed Riadh Ben Slama
Mohamed Chebil


Background : Staghorn stone is considered as a dreadful type of renal stones. The choice of the best treatment is always difficult.
Aim: To evaluate the results of percutaneous nephrolithotomy in the treatment of staghorn stones.
Methods:We report 83 cases of staghorn stones that were treated by percutaneous nephrolithotomy during a period of 10 years from 1994 to 2004.
Results: The mean age was 44 years and sex-ratio was 2,2. The right kidney was treated alone in 42% of cases, the left one in 56% of cases and both kidneys in only two cases. The mean area of stones was 6,6 cm2. One renal punction was necessary in 97% of cases. The rate of stone free after percutaneous nephrolithotomy only was about 54% and when combined with lithotripsy the rate was 64%.
Conclusion: Combined treatment using percutaneous nephrolithotomy and lithotripsy is considered as the best procedure for staghorn stones treatment.


Staghorn stone, Percutaneous nephrolithotomy, Extracorporeal shock wave lithotripsy



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