The University of Michigan experience with percutaneous nephrostolithotomy for urinary matrix calculi.

Published

Journal Article

OBJECTIVES: To evaluate commonalities in presentation and long-term efficacy of treatment by percutaneous nephrostolithotomy of matrix stones, a rare form of urinary calculi. METHODS: The clinical data of 9 consecutive patients with urinary matrix calculi in 11 kidneys treated at our institution between 1995 and 2007 were retrospectively reviewed. RESULTS: The matrix component in all 11 kidneys was successfully treated with percutaneous nephrostolithotomy, with few complications. Among 8 patients (9 kidneys) with follow-up, none has had recurrence of matrix stones after a mean follow-up of 3.8 years. Along with previously known risk factors for matrix stones, such as urinary tract infections and renal insufficiency, we identified smoking as another possible risk factor. Long-term antimicrobial prophylaxis was used in only 1 patient and thus does not seem necessary for prevention of recurrence. CONCLUSIONS: Matrix stone treatment with percutaneous nephrostolithotomy is durable and should remain the treatment modality of choice.

Full Text

Duke Authors

Cited Authors

  • Rowley, MW; Faerber, GJ; Wolf, JS

Published Date

  • July 2008

Published In

Volume / Issue

  • 72 / 1

Start / End Page

  • 61 - 64

PubMed ID

  • 18342922

Pubmed Central ID

  • 18342922

Electronic International Standard Serial Number (EISSN)

  • 1527-9995

International Standard Serial Number (ISSN)

  • 0090-4295

Digital Object Identifier (DOI)

  • 10.1016/j.urology.2007.12.080

Language

  • eng