Although it is a deformity, however, if there is no effect, the kidney function is very good, there is no problem, you can live a normal life ah; if there is really fluid or other effects, the need for surgery, if the operation is very successful, there is no problem. Horseshoe kidney without symptoms and complications, generally do not have to treat, with urinary tract obstruction with severe lumbar and rib pain and other symptoms affecting the work and life, can consider doing ureteral loosening isthmus cut off and separation of the two kidneys and pelvic ureteroplasty fixation. If there are comorbidities, the patient should be treated according to the specific situation, such as pelvic ureteral junction obstruction, then pyeloplasty should be performed, and the operation usually adopts the standard lumbar incision. Careful intraoperative dissection is required.

Dissecting the kidney without damaging the abnormally distributed renal vasculature often reveals a renal vein crossing the pyeloureteral junction, which should be ligated and then cut to relieve the obstruction. The ureter often opens in the high position of the renal pelvis, and should be fully free and exposed below the renal pelvic ureteral junction for y-v pyeloplasty to make the junction wider and drainage smooth. If vesicoureteral reflux is present, vesicoureteral reanastomosis should be performed. Simple isthmotomy is rarely performed because it has little effect on improving drainage and correcting the position of the kidney and ureter.