Retrograde intrarenal surgery for stones associated with renal anomalies: caliceal diverticulum, horseshoe kidney, medullary sponge kidney, megacalycosis, pelvic kidney, uretero-pelvic junction obstruction. 2023

Mariela Corrales, and Alba Sierra
Sorbonne University GRC Urolithiasis no. 20 Tenon Hospital Sorbonne University, Department of Urology AP-HP, Tenon Hospital, Paris, France.

Nowadays, due to the increase of imaging diagnosis, we identify easily renal anomalies, and we can choose between a wide range of armamentarium to treat symptomatic stones in those challenging cases. However, there is a lack of evidence and consensus on its use. The aim of this narrative review is to collect all the available data about safety and efficacity of retrograde intrarenal surgery (RIRS) in the treatment of kidney stones associated to a renal anomaly. Renal anomalies are uncommon findings and even more if it has to be associated with renal stones. After a literature review of the past 2 years, there are a small number of studies that compare the outcomes in patients who have been treated with minimally invasive modalities and they are mainly focus on RIRS. It is of extreme importance to know the advances on the stone treatment in anomalous kidneys. With the development of new laser technologies, RIRS is becoming a more interesting technique with high success rate and safety. Further studies are needed to make an accurate statement about the adequate surgical technique for each renal anomaly and also, clinical trials using new laser technologies.

UI MeSH Term Description Entries
D007668 Kidney Body organ that filters blood for the secretion of URINE and that regulates ion concentrations. Kidneys
D007669 Kidney Calculi Stones in the KIDNEY, usually formed in the urine-collecting area of the kidney (KIDNEY PELVIS). Their sizes vary and most contains CALCIUM OXALATE. Kidney Stones,Renal Calculi,Nephrolith,Renal Calculus,Calculi, Kidney,Calculi, Renal,Calculus, Kidney,Calculus, Renal,Kidney Calculus,Kidney Stone,Stone, Kidney,Stones, Kidney
D007691 Medullary Sponge Kidney A non-hereditary KIDNEY disorder characterized by the abnormally dilated (ECTASIA) medullary and inner papillary portions of the collecting ducts. These collecting ducts usually contain CYSTS or DIVERTICULA filled with jelly-like material or small calculi (KIDNEY STONES) leading to infections or obstruction. It should be distinguished from congenital or hereditary POLYCYSTIC KIDNEY DISEASES. Cacchi Ricci Disease,Cacchi-Ricci Syndrome,Kidney, Sponge,Precalyceal Canalicular Ectasia,Cacchi Ricci Syndrome,Canalicular Ectasia, Precalyceal,Canalicular Ectasias, Precalyceal,Disease, Cacchi Ricci,Ectasia, Precalyceal Canalicular,Ectasias, Precalyceal Canalicular,Kidneys, Sponge,Medullary Sponge Kidneys,Precalyceal Canalicular Ectasias,Ricci Disease, Cacchi,Sponge Kidney,Sponge Kidney, Medullary,Sponge Kidneys,Sponge Kidneys, Medullary,Syndrome, Cacchi-Ricci
D009403 Nephrostomy, Percutaneous The insertion of a catheter through the skin and body wall into the kidney pelvis, mainly to provide urine drainage where the ureter is not functional. It is used also to remove or dissolve renal calculi and to diagnose ureteral obstruction. Percutaneous Nephrostomy,Nephrostomies, Percutaneous,Percutaneous Nephrostomies
D004240 Diverticulum A pouch or sac developed from a tubular or saccular organ, such as the GASTROINTESTINAL TRACT. Diverticulosis,Diverticula
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000069337 Fused Kidney Congenital fusion of two kidneys. Cake Kidney,Congenital Fusion of Kidneys,Congenital Lobulation of Kidneys,Crossed Fused Ectopia,Crossed Fused Ectopia of Kidneys,Fusion of Kidney,Horseshoe Kidney,Lobulated Kidney,Lobulation of Kidney,Pelvic Cake Kidney,Renal Fusion,Cake Kidneys,Crossed Fused Ectopias,Fused Kidneys,Fusion, Renal,Fusions, Renal,Horseshoe Kidneys,Kidney Fusion,Kidney Fusions,Kidney Lobulation,Kidney Lobulations,Kidney, Cake,Kidney, Fused,Kidney, Horseshoe,Kidney, Lobulated,Kidneys, Cake,Kidneys, Fused,Kidneys, Horseshoe,Kidneys, Lobulated,Lobulated Kidneys,Pelvic Cake Kidneys,Renal Fusions
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes

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