Bilateral Staghorn Calculi—Patient Evaluation and Management

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Abstract
A total of 44 patients (17 men and 27 women) with simultaneous bilateral staghorn calculi underwent anatrophic nephrolithotomy with caliceal reconstruction. Excluding patients with urinary tract infection alone, all but 3 had identifiable metabolic abnormalities that required treatment postoperatively. Based on numbers of kidneys operated upon, the stone recurrence rate was 8.8% for men and 7.4% for women. No patient has required an operation for recurrent stone disease.