Experience of Mini PCNL in Horseshoe Kidneys

Authors

  • Md Abdur Rakib Col (Professor), Urology Centre, Combined Military Hospital, Dhaka Cantonment, Dhaka, Bangladesh
  • Md Shahidul Islam Brig Gen (Professor), Urology Centre, Combined Military Hospital, Dhaka Cantonment, Dhaka, Bangladesh
  • SM Shameem Waheed Brig Gen (Professor), Urology Centre, Combined Military Hospital, Dhaka Cantonment, Dhaka, Bangladesh
  • Mohammad Harun Or Rashid Lt Col (Associate Professor), Urology Centre, Combined Military Hospital, Dhaka Cantonment, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bju.v23i1.50296

Keywords:

Mini PCNL, Horseshoe kidneys(HSK)

Abstract

Objective: The objective of this article is to share our experience of Mini PCNL in horseshoe kidneys.

Methods: We performed Mini PCNL in 05 patients with Horse shoe kidneys in theurology centre of CMH Dhaka. Per cutaneous puncture was made with patient in proneposition. Their ages ranged between 35-52 years with a mean age of 42.3 years. PCNLaccess tract was made in upper pole of the kidney in 03(60%) while 01(20%) throughmiddle calyx, and 01(20%) had direct pelvic access. The stone size was 2.3-2.75cm withmultiple calculi in two kidneys.

Results: Complete Stone clearance was achieved in all 05 cases .Mean hospital stay was3.8 days (range 3-5 days).All cases were followed up at 4 weeks and after 3 months. Nosignificant Complications were seen except one patient who developed transient postoperativepyrexia which subsided with antipyretics. None of our patients developedpost PCNL bleeding or wound infection.

Conclusion: Mini PCNL in horse shoe kidneys are not too difficult than normal kidneysand does not carry significant risk than reported for normal kidneys. This effectivemodality resulted in almost100% stone clearance with minimal morbidity.

Bangladesh Journal of Urology, Vol. 23, No. 1, January 2020 p.82-86

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Published

2020-11-15

How to Cite

Rakib, M. A., Islam, M. S., Waheed, S. S., & Rashid, M. H. O. (2020). Experience of Mini PCNL in Horseshoe Kidneys. Bangladesh Journal of Urology, 23(1), 82–86. https://doi.org/10.3329/bju.v23i1.50296

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Original Articles