Horseshoe kidney is considered to be asymptomatic and non-fatal renal anomaly that has excellent prognosis in majority of patients without any therapeutic intervention. However in some of the patient medical as well as surgical management required based on the clinical course of the disease. Although most of the patients doesn’t require surgical intervention but it depends upon the disease process itself and its complications.

Horseshoe kidney is considered to be asymptomatic and non-fatal renal anomaly that has excellent prognosis in majority of patients without any therapeutic intervention. However in some of the patient medical as well as surgical management required based on the clinical course of the disease.^[1] Although most of the patients doesn’t require surgical intervention but it depends upon the disease process itself and its complications.^[2]

• Surgery is usually reserved for patients with either:
  • Ureteropelvic junction obstruction: The Foley Y-V pyeloplasty is a highly effective procedure for relief of ureteropelvic junction obstruction in horseshoe kidneys.^[1]
  • Nephrolithiasis: Percutaneous nephrolithotomy is the treatment of choice for calculi in horseshoe kidneys. It should be noted that due to problems localizing the pelvic stones and poor stone fragment clearance due to impaired renal drainage, it is considered less effective treatment option in horseshoe kidney.