Struvite and Staghorn Calculi Questions & Answers

1. Diri A, Diri B. Management of staghorn renal stones. Ren Fail. 2018 Nov. 40 (1):357-362. [Medline]. [Full Text].

2. Gleeson MJ, Griffith DP. Infection Stones. Resnick MI, Pak CYC, eds. Urolithiasis: A Medical and Surgical Reference. Philadelphia, PA: Saunders; 1990. 134-36.

3. Brown TR. On the Relation Between the Variety of Microorganisms and the Composition of Stone in Calculous Pyelonephritis. JAMA. 1901. 36:1394-7.

4. Sumner JB. The Isolation and Crystallization of the Enzyme Urease. J Biol Chem. 1926. 69:435-41.

5. Jongyotha K, Sriphrapradang C. Squamous Cell Carcinoma of the Renal Pelvis as a Result of Long-Standing Staghorn Calculi. Case Rep Oncol. 2015 Sep-Dec. 8 (3):399-404. [Medline]. [Full Text].

6. Priestley JT, Dunn JH. Branched renal calculi. J Urol. 1949 Feb. 61(2):194-203. [Medline].

7. Ansari MS, Gupta NP, Hemal AK, Dogra PN, Seth A, Aron M, et al. Spectrum of stone composition: structural analysis of 1050 upper urinary tract calculi from northern India. Int J Urol. 2005 Jan. 12(1):12-6. [Medline].

8. Tanthanuch M. Staghorn calculi in southern Thailand. J Med Assoc Thai. 2006 Dec. 89 (12):2086-90. [Medline].

9. Viprakasit DP, Sawyer MD, Herrell SD, Miller NL. Changing composition of staghorn calculi. J Urol. 2011 Dec. 186 (6):2285-90. [Medline].

10. [Guideline] Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, et al. Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I. J Urol. 2016 Oct. 196 (4):1153-60. [Medline]. [Full Text].

11. [Guideline] Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, et al. Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART II. J Urol. 2016 Oct. 196 (4):1161-9. [Medline].

12. Lam HS, Lingeman JE, Russo R, Chua GT. Stone surface area determination techniques: a unifying concept of staghorn stone burden assessment. J Urol. 1992 Sep. 148(3 Pt 2):1026-9. [Medline].

13. Zilberman DE, Ferrandino MN, Preminger GM, Paulson EK, Lipkin ME, Boll DT. In vivo determination of urinary stone composition using dual energy computerized tomography with advanced post-acquisition processing. J Urol. 2010 Dec. 184(6):2354-9. [Medline].

14. Kulkarni NM, Eisner BH, Pinho DF, Joshi MC, Kambadakone AR, Sahani DV. Determination of renal stone composition in phantom and patients using single-source dual-energy computed tomography. J Comput Assist Tomogr. 2013 Jan. 37(1):37-45. [Medline].

15. [Guideline] Medical Management of Kidney Stones. American Urological Association. Available at https://www.auanet.org/education/guidelines/management-kidney-stones.cfm. March 2014; Accessed: December 24, 2018.

16. Lewis GA, Schuster GA, Cooper RA. Dissolution of renal calculi with dicloxacillin. Urology. 1983 Oct. 22(4):401-3. [Medline].

17. Wang LP, Wong HY, Griffith DP. Treatment options in struvite stones. Urol Clin North Am. 1997 Feb. 24(1):149-62. [Medline].

18. Duty B, Okhunov Z, Smith A, Okeke Z. The debate over percutaneous nephrolithotomy positioning: a comprehensive review. J Urol. 2011 Jul. 186(1):20-5. [Medline].

19. Honey RJ, Wiesenthal JD, Ghiculete D, Pace S, Ray AA, Pace KT. Comparison of supracostal versus infracostal percutaneous nephrolithotomy using the novel prone-flexed patient position. J Endourol. 2011 Jun. 25(6):947-54. [Medline].

20. Chen L, Sha ML, Li D, Zhuo J, Jiang CY, Zhu YP, et al. Treatment for residual stones using flexible ureteroscopy and holmium laser lithotripsy after the management of complex calculi with single-tract percutaneous nephrolithotomy. Lasers Med Sci. 2017 Apr. 32 (3):649-654. [Medline].

21. Astroza G, Lipkin M, Neisius A, Preminger G, De Sio M, Sodha H, et al. Effect of supine vs prone position on outcomes of percutaneous nephrolithotomy in staghorn calculi: results from the Clinical Research Office of the Endourology Society Study. Urology. 2013 Dec. 82(6):1240-4. [Medline].

22. Blum KA, Parkhomenko E, Thai J, Tran T, Gupta M. A contemporary lower pole approach for complete staghorn calculi: outcomes and efficacy. World J Urol. 2018 Sep. 36 (9):1461-1467. [Medline].

23. Borofsky MS, Wollin DA, Reddy T, Shah O, Assimos DG, Lingeman JE. Salvage Percutaneous Nephrolithotomy: Analysis of Outcomes Following Initial Treatment Failure. J Urol. 2015 Nov 7. [Medline].

24. Al-Kohlany KM, Shokeir AA, Mosbah A, Mohsen T, Shoma AM, Eraky I, et al. Treatment of complete staghorn stones: a prospective randomized comparison of open surgery versus percutaneous nephrolithotomy. J Urol. 2005 Feb. 173(2):469-73. [Medline].

25. Meretyk S, Gofrit ON, Gafni O, Pode D, Shapiro A, Verstandig A, et al. Complete staghorn calculi: random prospective comparison between extracorporeal shock wave lithotripsy monotherapy and combined with percutaneous nephrostolithotomy. J Urol. 1997 Mar. 157(3):780-6. [Medline].

26. Gleason MJ, Griffith DP. Infection Stones. Resnick MI, Pak CY, eds. Urolithiasis: a Medical and Surgical Reference. Philadelphia, Pa: WB Saunders; 1990. 134-6.

27. Griffith DP, Osborne CA. Infection (urease) stones. Miner Electrolyte Metab. 1987. 13(4):278-85. [Medline].

28. Lam HS, Lingeman JE, Mosbaugh PG, Steele RE, Knapp PM, Scott JW, et al. Evolution of the technique of combination therapy for staghorn calculi: a decreasing role for extracorporeal shock wave lithotripsy. J Urol. 1992 Sep. 148(3 Pt 2):1058-62. [Medline].

29. Lingeman JE, Lifshitz DA, Evan AP. Surgical management of urinary lithiasis. Walsh PC, Retik AB, Vaughan ED, Wein AJ, eds. Campbell's Urology. 8th ed. Philadelphia, Pa: WB Saunders; 2002. Vol 4: 3366-3370.

30. McDougall EM, Liatsikos EN, Dinlenc CZ. Percutaneous approaches to the Upper Urinary Tract. Walsh PC, Retik AB, Vaughan ED, Wein AJ, eds. Campbell's Urology. 8th ed. Philadelphia, Pa: WB Saunders; 2002. Vol 4: 3320-40.

31. Morey AF, Nitahara KS, McAninch JW. Modified anatrophic nephrolithotomy for management of staghorn calculi: is renal function preserved?. J Urol. 1999 Sep. 162(3 Pt 1):670-3. [Medline].

32. Schwartz BF, Stoller ML. Nonsurgical management of infection-related renal calculi. Urol Clin North Am. 1999 Nov. 26(4):765-78, viii. [Medline].

33. Suby HI, Albright F. Dissolution of Phosphatic Urinary Calculi by the Retrograde Introduction of a Citrate Solution Containing Magnesium. N Engl J Med. 1943. 228:81-91.

Maxwell Meng, MD Associate Professor-in-Residence, Department of Urology, University of California, San Francisco, School of Medicine

Maxwell Meng, MD is a member of the following medical societies: American College of Surgeons, American Urological Association, Society of Urologic Oncology

Disclosure: Nothing to disclose.

Thomas Chi, MD Assistant Professor, Department of Urology, University of California, San Francisco, School of Medicine

Thomas Chi, MD is a member of the following medical societies: American College of Surgeons, American Urological Association, Western Section of the American Urological Association

Disclosure: Received honoraria from Bard Medical for speaking and teaching.

Marshall L Stoller, MD Professor and Vice Chairman, Medical Director of Urinary Stone Center, Department of Urology, University of California, San Francisco, School of Medicine

Marshall L Stoller, MD is a member of the following medical societies: American Urological Association

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Bradley Fields Schwartz, DO, FACS Professor of Urology, Director, Center for Laparoscopy and Endourology, Department of Surgery, Southern Illinois University School of Medicine

Bradley Fields Schwartz, DO, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Association of Military Osteopathic Physicians and Surgeons, Endourological Society, Society of Laparoendoscopic Surgeons, Society of University Urologists

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Endourological Society Board of Directors; President Elect North Central Section of the American Urological Association<br/>Serve(d) as a speaker or a member of a speakers bureau for: Cook Medical.

Martha K Terris, MD, FACS Professor and Chief of Urology, Witherington Distinguished Chair, Department of Surgery, Section of Urology, Director, Urology Residency Training Program, Medical College of Georgia at Augusta University; Professor, Department of Physician Assistants, Medical College of Georgia School of Allied Health; Chief, Section of Urology, Augusta Veterans Affairs Medical Center

Martha K Terris, MD, FACS is a member of the following medical societies: American Cancer Society, American College of Surgeons, American Institute of Ultrasound in Medicine, American Society of Clinical Oncology, American Urological Association, Association of Women Surgeons, New York Academy of Sciences, Society of Government Service Urologists, Society of University Urologists, Society of Urology Chairpersons and Program Directors, Society of Women in Urology

Disclosure: Nothing to disclose.

Thomas Minor, MD Resident Physician, Department of Urology, University of California, San Francisco, School of Medicine

Thomas Minor, MD is a member of the following medical societies: American Urological Association

Disclosure: Nothing to disclose.

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