Anatrophic Nephrolithotomy in the Solitary Kidney

Abstract

A retrospective analysis was conducted on 30 patients who had undergone anatrophic nephrolithotomy for staghorn calculus disease in a solitary kidney. No statistically significant difference P > 0.1) was found between average preoperative and postoperative renal function values. Of 27 patients who were infected preoperatively, 19 were rendered free of further urinary tract infection; 24 of 30 patients (80%) had no further recurrence of renal calculi. Because of the predictable morbidity and mortality associated with nonoperative management of staghorn calculus disease, these patients were managed best by complete surgical removal of all calculi and intensive antimicrobial therapy.