Objective: Horseshoe kidney is a malformation of the upper urinary tract that usually remains asymptomatic. The authors report the various therapeutic modalities for urological diseases associated with horseshoe kidney.

Material And Method: Review of a series of 36 pathological horseshoe kidneys, associated with renal stones in 19 cases, ureteropelvic junction syndrome in 8 cases, tumour in 5 cases, pyonephrosis in 2 cases and trauma in 2 cases.

Results: The authors stress the very specific characteristics of this rare malformation and review the therapeutic approach to each type of urological disease associated with horseshoe kidney.

Conclusion: The topographic and vascular characteristics must be taken into account before treating any urological disease associated with horseshoe kidney.

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