Abstract
The treatment of renal staghorn stones by PCN-monotherapy or PCN-debulking with subsequent ESWL is reported. From 1984 to 1997, 111 patients were treated for staghorn stones, 69 of whom had pyelitic stones involving one calyx only while more than one calyx was involved in the remaining 35 as follows: 32 simple (pyelic stone + 2 or more calyces involved) and 3 complex (all calyces involved). Of the 104 patients treated with PCN-monotherapy or combined with subsequent ESWL, 86 became stone-free (82.6%). Furthermore there were few complications, less morbidity and greater preservation of renal function compared to open surgery.
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