Multimodal approach to the treatment of staghorn stones in modern clinic


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Abstract

This lecture is dedicated to increasing stone free rate (SFR) in patients with staghorn renal stones by using a multimodal approach. Percutaneous nephrolithotomy (PCNL) is the “gold standard” for the treatment of this group of patients. Depending on a stone size and complexity, SFR for PCNL varies from 55 to 98%. Due to low SFR, which is a main criterion for the effective procedure, various approaches currently are being suggested. In this lecture, we highlighted the following approaches: multi-access PCNL, a use of a ureteroscope in case of antegrade stone migration, a use of flexible instruments, ureterorenoscopy in combination with PCNL. Various lithotripsy techniques are briefly described. The advantage of ultrasound-guided puncture of the kidney is also discussed.

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About the authors

S. V Popov

FGBOU VO North-Western State Medical University named after I.I. Mechnikov; GBUZ “Public Hospital of Saint Luca”

Email: doc.popov@gmail.com
MD, associate professor at the Department of Urology of FGBOU VO North-Western State Medical University named after I.I. Mechnikov, Chief of GBUZ “Public Hospital of Saint Luca” Saint Petersburg, Russia

I. N Orlov

FGBOU VO North-Western State Medical University named after I.I. Mechnikov; GBUZ “Public Hospital of Saint Luca”

Email: doc.orlov@gmail.com
Ph.D., assistant at the Department of Urology of FGBOU VO North-Western State Medical University named after I.I. Mechnikov, Head of the Department of Urology of GBUZ “Public Hospital of Saint Luca” Saint Petersburg, Russia

F. R Asfandiyarov

FGBOU VO «Astrakhan state medical university» of the Russian Ministry of Health

Email: drfa@rambler.ru
MD, associate professor, Head of the Department of Urology Astrakhan, Russia

O. N Skryabin

Saint-Petersburg Public Hospital of Saint Luca

Email: skryabin55@mail.com
MD, professor, chief oncologist Saint Petersburg, Russia

M. M. Suleymanov

GBUZ “Public Hospital of Saint Luca”

Email: doc.suleimanov@gmail.com
Ph.D., urologist at the Department of Urology Saint Petersburg, Russia

D. A Sytnik

GBUZ “Public Hospital of Saint Luca”

Email: doc.dmitriysytnik@gmail.com
urologist at the Department of Urology N01 Saint Petersburg, Russia

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