Aims:
The management of kidney stones with congenital kidney anomalies and abnormal variations continue to pose challenges to urologists. The treatment options include open surgery, extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL), laparoscopy and ureterorenoscopy (rigid or flexible).
Methods:
In this study, we retrospectively reviewed health records of patients with abnormal urinary tract anatomy due to both congenital or acquired reasons who were operated between January 2009 and July 2016.
Results:
The study included a total of 66 patients with anatomical abnormalities or solitary kidney. These patients had various congenital or acquired abnormalities. Fifty-four patients were stone free after the first intervention, and the initial operations were successful. Two patients with horseshoe kidney had severe bleeding, and the operation was canceled. One of these two patients underwent PCNL surgery.
Conclusions:
In recent years, endoscopic stone surgery has gained increasing popularity due to improved techniques. The most important development in this area was in F-URS and retrograde intrarenal surgery. However, current literature is limited regarding patients with urinary tract abnormalities. Our results demonstrate that F-URS seems to be a safe and effective procedure for urinary tract anatomical variations. However, studies involving larger patient series would yield more information.
Keywords: Urolithiasis, renal, anomaly, stone, disease
