Classification of

Staghorn Calculi

Partial staghorn calculi were defined as renal pelvic calculi

extending into two calyceal groups
Complete staghorn stones were defined as renal pelvic
calculi extending into all major calyceal groups, filling at
least 80% of the collecting system.
But for stones between 501 and 1500 mm2 an overlap
between partial and complete staghorn calculi commonly
occurs.

The size of a concrement (stone burden) can be expressed in different ways. A

notation of the largest diameter is the most common way of expressing size in the
literature, i.e., the length of the stone as measured on the plain film. With
knowledge of the length (l) and the width (w), an appropriate estimate of the
stone surface area (SA) can be obtained for most stones (1):
SA = l x w x x 0.25 mm2
For a quick estimate of the stone surface area, please refer to Table A1 (Appendix).
The surface area can also be measured using computerized systems and from CT
scans, but these are not always easy procedures. With knowledge of the surface
area, the stone volume can be calculated by the formula below (2):
Volume = 0.6 x SA mm3

The Stone Surface Area (Table A1)

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