Ayesha Saeed, Butt ZA.
Single kidney and its management.
J Surg Pak Jan ;7(4):17-9.

A descriptive study of 33 cases of single kidney was carried out in the Department of urology; P.O.F Hospital Wah Cantt over a period of 4.5 years (Jan 1997- July 2002) .The objectives of study were to find out the causes of single kidney and the role of invasive and non invasive treatment modalities in the management of its diseases. The diagnosis was established on the basis of history, and uroradiological investigations. Renal Calculi were found to be the commonest cause in 63.63% of patients. 12 patients who presented with renal failure were first stabalized by Percutaneous Nephrotomy (PCN). Invasive procedures included, 6 pyelolithotomies, 4 Percutaneous Nephro-Lithotomy (PCNL), 3 ureterolithotomy, 3 URS. 1 endopyelotomy+URS and 3 renal transplants. While 11 patients were sent for ESWL, only 1 patients died due to viral chest infection (post renal transplantation). Rest of the patients are well on strict follow-Minimal invasive techniques are found to be effective with high success rate.

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