Combined Laparoscopic Pyelolithotomy with RIRS in a Patient with Horseshoe Kidney Anomaly and Kidney Stone: A Case Report

Abstract

Horseshoe Kidney is the most prevalent congenital kidney fusion anomaly, affecting 0.25 percent of the general population and occurring in 1 in 400 to 1600 births. Approximately forty percent of patients develop kidney stones due to anomalies. In our case, we aimed to perform combined laparoscopic pyelolithotomy with RIRS instead of PCNL in a patient with horseshoe anomaly. This procedure enabled us to detect the location of the mobile stone with RIRS and then successfully extract it with laparoscopic pyelolithotomy. Laparoscopic pyelolithotomy combined with RIRS is a reasonable additional treatment option for complicated stone surgery due to horseshoe kidney anomalies.