Management of upper urinary tract calculi in crossed fused renal ectopic anomaly

  • Authors:
    • Liang Huang
    • Yong Lin
    • Zhengyan Tang
    • Dongjie Lie
    • Zhao Wang
    • Hequn Chen
    • Guilin Wang
  • View Affiliations

  • Published online on: October 27, 2017     https://doi.org/10.3892/etm.2017.5382
  • Pages:371-376
Metrics: HTML 0 views | PDF 0 views
0

Abstract

The aim of the present study was to summarize the management of upper urinary tract calculi in crossed fused renal ectopia (CFRE). Two patients were retrospectively studied in Xiangya Hospital (Changsha, China) and all relevant literature published in English between 1996 and 2016 was reviewed. All patients, including those reported in the literature, were characterized by age, sex, manifestation, therapy history, ectopic side, stone location, surgery and outcome. The patients had a mean age of 42.3±18.5 years, a male: Female ratio of 5:4 and the ratio of renal ectopic side was 9:8 (left:right). All patients suffered from different degrees of pain on the affected side, with or without hematuria. Up to 89% of patients presented with renal stones. These patients received treatments including conservative management in 2, extracorporeal shock wave lithotripsy (ESWL) in 2, percutaneous nephrolithotomy (PCNL) in 11, laparoscope nephrolithotomy in 1 and retrograde intrarenal surgery (RIRS) in 3. Complete stone clearance was achieved in 14 patients (73.7%). In addition, 3 patients had a history of failed ESWL. No obvious intraoperative or postoperative complications occurred. The results suggested that, for the treatment of CFRE with upper urinary tract calculi, conservative treatment and ESWL are insufficient. PCNL is a safe and effective treatment for renal calculus, and laparoscopic nephrolithotomy is an alternative choice for treating large or staghorn renal stones. RIRS may become the first line of treatment for renal stones (≤3.5 cm) due to its multiple merits, including higher stone‑free rates, minimal invasion and fewer complications.

Related Articles

Journal Cover

January 2018
Volume 15 Issue 1

Print ISSN: 1792-0981
Online ISSN:1792-1015

2016 Impact Factor: 1.261
Ranked #50/128 Medicine Research and Experimental
(total number of cites)

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
APA
Huang, L., Lin, Y., Tang, Z., Lie, D., Wang, Z., Chen, H., & Wang, G. (2018). Management of upper urinary tract calculi in crossed fused renal ectopic anomaly. Experimental and Therapeutic Medicine, 15, 371-376. https://doi.org/10.3892/etm.2017.5382
MLA
Huang, L., Lin, Y., Tang, Z., Lie, D., Wang, Z., Chen, H., Wang, G."Management of upper urinary tract calculi in crossed fused renal ectopic anomaly". Experimental and Therapeutic Medicine 15.1 (2018): 371-376.
Chicago
Huang, L., Lin, Y., Tang, Z., Lie, D., Wang, Z., Chen, H., Wang, G."Management of upper urinary tract calculi in crossed fused renal ectopic anomaly". Experimental and Therapeutic Medicine 15, no. 1 (2018): 371-376. https://doi.org/10.3892/etm.2017.5382