Morphometry scores: Clinical implications in the management of staghorn calculi

Due to their large size, rapid growth, and attendant morbidity, staghorn calculi are complex clinical entities that impose significant treatment-related challenges. Moreover, their relative heterogeneity—in terms of both total stone burden and anatomic distribution—limits the ability to standardize...

Full description

Saved in:
Bibliographic Details
Main Authors: Jared S. Winoker, Ryan A. Chandhoke, William Atallah, Mantu Gupta
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:Asian Journal of Urology
Online Access:http://www.sciencedirect.com/science/article/pii/S2214388219300694
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Due to their large size, rapid growth, and attendant morbidity, staghorn calculi are complex clinical entities that impose significant treatment-related challenges. Moreover, their relative heterogeneity—in terms of both total stone burden and anatomic distribution—limits the ability to standardize their characterization and the reporting of surgical outcomes. Several morphometry systems currently exist to define the volumetric distribution of renal stones, in general, and to predict the outcomes of percutaneous nephrolithotomy; however, they fall short in their applicability to staghorn stones. In this review, we aim to discuss the clinical utility of morphometry systems and the influence of pelvicalyceal anatomy on the management of these complex calculi. Keywords: Nephrolithiasis, Percutaneous nephrolithotomy, Staghorn, Kidney stone, Morphometry
ISSN:2214-3882