[Treatment of urolithiasis in the horse-shoe-shaped kidney].

Seventeen patients with horse-shoe kidneys and nephroliths (5 females, 12 men, age from 17 to 63 years) participated in the trial. All the patients have undergone a complete clinical and laboratory examinations. Use of modern high-tech methods in urology allows one to have a new look on nephroliths treatment in patients with horseshoe kidney. It was found effective to apply extracorporeal shockwave lithotripsy if the horse-shoe kidney contains one stone of up to 1.5 cm in size and a latent-stage pyelonephritis. Internal drainage of the ureter by a stent catheter before surgery decreases the risk of complications and provides fragmentation of the stone. In horse-shoe kidney with multiple nephroliths, conventional operation such as pyelolithotomy should be supplemented with ureter stent catheterization and extracorporeal shock-wave lithotripsy.