Surgical Help for Intractable Nephrolithiasis

A proportion of patients with intractable metabolic stone disease experience narcotic dependence. With careful patient selection, renal autotransplantation and pyelovesicostomy may offer resolution of chronic pain, fewer subsequent stone treatment procedures, improved quality of life and reduced daily narcotic use.

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Saving as Many Nephrons as Possible

The quantity of preserved nephrons correlates directly with functional recovery after partial nephrectomy. Precision of tumor excision and renal reconstruction to save as much vascularized parenchyma as possible is critical and can be optimized by high-quality imaging and meticulous surgical technique.