There is no general method of treatment for staghorn calculi but we should select the most reasonable method including open surgery for each case taking into consideration the stone composition, predisposing factors and possibility of stone residue and recurrence. Brushite stones reveal radiate structure and are hard. Hydroxyapatite stones are rich in matrix and fragile. Calcium phosphate stones, hydroxyapatite or brushite stones, are rare and are formed in hyperparathyroidism, Cushing syndrome and renal tubular acidosis. ![]() Therefore, combination therapy of stone crushing and irrigation of alkali solution may be useful for treatment of cystine stones as well as uric acid stones. Staghorn calculus is a large concretion of irregular process shape, partially or completely filling the cup-pelvis complex (CHLC). The fragments made by crushing are large. Cystine stones show a compact radial monomineral texture and are very hard. They are very hard and are refractory to crushing, and the fragments are large. Whewellite stones and uric acid stones have a smooth surface and reveal compact radial and laminal structure especially in the peripheral layer. Therefore, perioperative administration of antibiotics is necessary for prevention of bacteremia and sepsis. Recommended for any of the following: Intractable pain or vomiting Proximal urinary tract infection, as evidence by: Urosepsis: Fever Ill appearance, OR Markedly elevated WBC Single or transplanted kidney with obstruction Acute renal failure Hypercalcemic Crisis Also consider admission for. These stones usually contain many bacterial colonies in the interstices of crystals and bacteria break out of the stones when they are crushed. Struvite stones show a concentric laminal structure and are fragile because of wide interstices of crystals and rich organic matrix. 120 patients (60) were diagnosed with partial staghorn calculi whereas. It is very important in stone crushing to know the composition and architecture of the stones. Staghorn stones are large branching stones that fill the renal pelvis and renal. Willt respond to sound wave treatment (eswl) and requires aggressive management, ideally by percutaneous lithotripsy. This radiograph shows a staghorn calculus filling the renal pelvis and calyces of the right kidney in this 16 year old boy. Sometimes, cystine, uric acid, whewellite and brushite stones also assume a staghorn configuration when located in the kidney. Staghorn shape: A staghorn calculus is a large kidney stone shaped like a stags horn and fills the inside of the kidney. ![]() Most staghorn calculi are infection stones composed of struvite and/or carbonate apatite.
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