Multi modal management of staghorn calculus without pcnl in poor performance status patient

The usual procedure of choice in a staghorn calculus will be Percutaneous nephrolithotomy. In selected patients Anatropic nephrolithotomy or nephrectomy. In surgically high-risk patients we usually try multiple sessions of Extracorporeal shock wave lithotripsy combined with double J stent or percutaneous nephrostomy. We are reporting this unusual neurological patient who had a huge load of stones in both kidneys and ureters who responded well with complete stone clearance after just drainage of the system, with bilateral ureteric stents and continuous bladder drainage and antibiotics.