📃 Paper Title: Conservative management of staghorn stones
🧍 Author: Alsawi
🕒 Year: 2020
📚 Journal: Ann R Coll Surg Eng
🌎 Country: U.K.
ㅤContext to the study:
Can you tell me about a paper that supports conservative management of staghorn stones?
ㅤ✅ Take-home message of study:
Conservative management of staghorn calculi can be performed safely
Patient selection is key - minimal infection, asymptomatic stones
ㅤ Systematic review
ㅤ
Study participants:
12 retrospective studies, 304 patients
ㅤ
ㅤ
Key study outcomes:
Mean progressive renal deterioration rate of 27.5% (bilateral staghorns RR 4.8)
50%
Dialysis was required in 9% of patients (20% bilateral, 6% unilateral). The mean rate of
severe infection was 8.7% and recurrent urinary tract infections occurred in as high as 50% of cases (80% bilateral, 41% unilateral).
Disease specific mortality ranged from 0% to 67% (mean 20.5%)
ㅤ
ㅤ
Study Limitations:
Other than age, no other patient characteristics were identified.
ㅤ