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Case Reports in Urology
Volume 2012 (2012), Article ID 873069, 3 pages
Case Report

Case Report: Successful Staged Ureteroscopic Treatment of a 5 cm Staghorn Renal Calculus

1Beth Israel Deaconess Hospital-Needham, MA 02492, USA
2Harvard Medical School, Boston, MA 02115, USA
3College of the Holy Cross, Worcester, MA 01610, USA

Received 15 November 2011; Accepted 20 December 2011

Academic Editors: A. Goel and J. Park

Copyright © 2012 Joseph M. Ciccone et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


It is widely accepted that percutaneous nephrostolithotorny (PCNL) is the standard of choice for the removal of large staghorn renal calculi. Although data exists supporting a stagad ureteroscopic as an alternate treatment for stones up to 3 cm in select patients, little data exists to support a ureteroscopic approach for stones as large as 5 cm. We present a case of a 68 year old female with a 5 cm staghorn renal calculus managed successfully with a staged ureteroscopic approach. A staged ureteroscopic approach can be effective in treating stones as large as 5 cm.