Horseshoe kidney surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Although most of the patients doesn't require surgical intervention but it depends upon the disease process itself and its complications.
Indications
Although most of the patients doesn't require surgical intervention but it depends upon the disease process itself and its complications.
- Surgery is usually reserved for patients with either:
- ureteropelvic junction obstruction: The Foley Y-V pyeloplasty is a highly effective procedure for relief of ureteropelvic junction obstruction in horseshoe kidneys.[1]
- Nephrolithiasis: Percutaneous nephrolithotomy is the treatment of choice for calculi in horseshoe kidneys.[2]It should be noted that due to problems localizing the pelvic stones and poor stone fragment clearance due to impaired renal drainage, ESWL is considered less effective treatment option in horseshoe kidney.
Contraindications
References
- ↑ Pitts WR, Muecke EC (1975). "Horseshoe kidneys: a 40-year experience". J Urol. 113 (6): 743–6. PMID 1152146.
- ↑ Cussenot O, Desgrandchamps F, Ollier P, Teillac P, Le Duc A (1992). "Anatomical bases of percutaneous surgery for calculi in horseshoe kidney". Surg Radiol Anat. 14 (3): 209–13. PMID 1440184.