Morphometry scores: Clinical implications in the management of staghorn calculi

Due to their large size, rapid growth, and attendant morbidity, staghorn calculi are complex clinical entities that impose significant treatment-related challenges. Moreover, their relative heterogeneity—in terms of both total stone burden and anatomic distribution—limits the ability to standardize...

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Main Authors: Jared S. Winoker, Ryan A. Chandhoke, William Atallah, Mantu Gupta
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:Asian Journal of Urology
Online Access:http://www.sciencedirect.com/science/article/pii/S2214388219300694
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author Jared S. Winoker
Ryan A. Chandhoke
William Atallah
Mantu Gupta
author_facet Jared S. Winoker
Ryan A. Chandhoke
William Atallah
Mantu Gupta
author_sort Jared S. Winoker
collection DOAJ
description Due to their large size, rapid growth, and attendant morbidity, staghorn calculi are complex clinical entities that impose significant treatment-related challenges. Moreover, their relative heterogeneity—in terms of both total stone burden and anatomic distribution—limits the ability to standardize their characterization and the reporting of surgical outcomes. Several morphometry systems currently exist to define the volumetric distribution of renal stones, in general, and to predict the outcomes of percutaneous nephrolithotomy; however, they fall short in their applicability to staghorn stones. In this review, we aim to discuss the clinical utility of morphometry systems and the influence of pelvicalyceal anatomy on the management of these complex calculi. Keywords: Nephrolithiasis, Percutaneous nephrolithotomy, Staghorn, Kidney stone, Morphometry
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institution Kabale University
issn 2214-3882
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publishDate 2020-04-01
publisher Elsevier
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series Asian Journal of Urology
spelling doaj-art-3cecb8a7e5b6433f91f2b415d347791e2025-08-20T03:49:04ZengElsevierAsian Journal of Urology2214-38822020-04-0172788610.1016/j.ajur.2019.06.001Morphometry scores: Clinical implications in the management of staghorn calculiJared S. Winoker0Ryan A. Chandhoke1William Atallah2Mantu Gupta3Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USADepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USADepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USACorresponding author.; Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USADue to their large size, rapid growth, and attendant morbidity, staghorn calculi are complex clinical entities that impose significant treatment-related challenges. Moreover, their relative heterogeneity—in terms of both total stone burden and anatomic distribution—limits the ability to standardize their characterization and the reporting of surgical outcomes. Several morphometry systems currently exist to define the volumetric distribution of renal stones, in general, and to predict the outcomes of percutaneous nephrolithotomy; however, they fall short in their applicability to staghorn stones. In this review, we aim to discuss the clinical utility of morphometry systems and the influence of pelvicalyceal anatomy on the management of these complex calculi. Keywords: Nephrolithiasis, Percutaneous nephrolithotomy, Staghorn, Kidney stone, Morphometryhttp://www.sciencedirect.com/science/article/pii/S2214388219300694
spellingShingle Jared S. Winoker
Ryan A. Chandhoke
William Atallah
Mantu Gupta
Morphometry scores: Clinical implications in the management of staghorn calculi
Asian Journal of Urology
title Morphometry scores: Clinical implications in the management of staghorn calculi
title_full Morphometry scores: Clinical implications in the management of staghorn calculi
title_fullStr Morphometry scores: Clinical implications in the management of staghorn calculi
title_full_unstemmed Morphometry scores: Clinical implications in the management of staghorn calculi
title_short Morphometry scores: Clinical implications in the management of staghorn calculi
title_sort morphometry scores clinical implications in the management of staghorn calculi
url http://www.sciencedirect.com/science/article/pii/S2214388219300694
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AT ryanachandhoke morphometryscoresclinicalimplicationsinthemanagementofstaghorncalculi
AT williamatallah morphometryscoresclinicalimplicationsinthemanagementofstaghorncalculi
AT mantugupta morphometryscoresclinicalimplicationsinthemanagementofstaghorncalculi