From the Department of Urology, Shahid Labbafi Nejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran
Abstract: (3570 Views)
Prom April, 1983 until December, 1987, 15 patients with horseshoe
kidneys underwent surgery in Shahid Labbafi Nejad Medical Center.
Pyelolithotomy was done in 11 cases, pyeloplasty in 2 cases, and nephrectomy
in 2 cases. Symphysiotomy was performed in 14 of these patients.
Preoperative angiography was not done in any of the cases and midline
transperitoneal approach was utilized in all of the cases. We consider
angiography an unnecessary invasive procedure in the great majority of the
horseshoe kidney operations. Midline transperitoneal approach is far
superior to flank approach in horseshoe kidney surgery. We also prefer
symphysiotomy in these cases, since it improves drainage from horseshoe
kidney pelvices.