Abstract
Objective To explore the clinical effect of extracorporeal shock wave lithotripsy (ESWL) for the treatment of horseshoe kidney stones. Methods A total of 42 cases of horseshoe kidney stones from March 1987 to January 2015 were enrolled. Among them , 33 cases were male and 9 cases were female. Their age range was 19 to 71 years , average age was 42 years old. 25 cases got left renal pelvis stone, 17 cases were on the right renal pelvis side. The diameter range of stone was 0.4-3.7 cm, the average was 1.8cm. ESWL was applied to treat whole group. The prone position was used to removing calculus. The frequency of treatment was 2000-2700 times, with an average of 2500 times; the treatment voltage was 4-7KV. The gravel time of the treatment was 30-45min, the average was 35min. Results One time for ESWL was 29 cases, two times for ESWL was 8 cases, three times for ESWL was 3 cases, four times for ESWL was 2 cases. The first discharge stones time was 3 to 10 days. There was no special discomfort after operation. 40 cases got hematuria after operation, which occurred in 1 to 3 days after ESWL. Renal colic was in 7 cases which happened on 1-3 days after ESWL. Conclusions Calculi in horseshoe kidney may be treated by ESWL. It is a safe and simple operation. The prone position may bring satisfactory effect. Key words: Horseshoe kidney stone; Extracorporeal shock wave lithotripsy; Prone position
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