Stone disease

2013 ◽  
pp. 427-490
Author(s):  
John Reynard ◽  
Simon Brewster ◽  
Suzanne Biers
Keyword(s):  
Natural History ◽  
Kidney Stones ◽  
Kidney Stone ◽  
Watchful Waiting ◽  
Treatment Options ◽  
Stone Disease ◽  
Mechanisms Of Formation ◽  
Stone Former ◽  
Stone Treatment ◽  
History Of

Kidney stones: epidemiology 428 Kidney stones: types and predisposing factors 432 Kidney stones: mechanisms of formation 434 Factors predisposing to specific stone types 436 Evaluation of the stone former 440 Kidney stones: presentation and diagnosis 442 Kidney stone treatment options: watchful waiting and the natural history of stones ...

scholarly journals Secondhand smoke increases the risk of developing kidney stone disease

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Chien-Heng Chen ◽  
Jia-In Lee ◽  
Jhen-Hao Jhan ◽  
Yung-Chin Lee ◽  
Jiun-Hung Geng ◽  
...  
Keyword(s):  
Kidney Stones ◽  
Secondhand Smoke ◽  
Kidney Stone ◽  
Kidney Diseases ◽  
Stone Disease ◽  
Exposure Group ◽  
Kidney Stone Disease ◽  
History Of ◽  
Developing Kidney ◽  
Never Smokers

AbstractResearch indicates smoking increases the risk of various kidney diseases, although the risk of developing kidney stone disease in non-smokers exposed to secondhand smoke is unknown. This study analyzed a total of 19,430 never-smokers with no history of kidney stone disease who participated in the Taiwan Biobank from 2008 to 2019. They were divided into two groups by secondhand smoke exposure; no exposure and exposure groups; the mean age of participants was 51 years, and 81% were women. Incident kidney stone development was observed in 352 (2.0%) and 50 (3.3%) participants in the no exposure and exposure groups during a mean follow-up of 47 months. The odds ratio (OR) of incident kidney stone was significantly higher in the exposure group than the no exposure group [OR, 1.64; 95% confidence interval (95% CI) 1.21 to 2.23]. Participants with > 1.2 h per week exposure were associated with almost twofold risk of developing kidney stones compared with no exposure (OR, 1.92; 95% CI 1.29 to 2.86). Our study suggests that secondhand smoke is a risk factor for development of kidney stones and supports the need for a prospective evaluation of this finding.

scholarly journals Risk factors of kidney stone disease: a cross-sectional study in the southeast of Iran

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Parvin Khalili ◽  
Zahra Jamali ◽  
Tabandeh Sadeghi ◽  
Ali Esmaeili-nadimi ◽  
Maryam Mohamadi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care Providers ◽  
Kidney Stones ◽  
Kidney Stone ◽  
Adult Population ◽  
Stone Disease ◽  
Care Providers ◽  
Baseline Phase ◽  
Kidney Stone Disease ◽  
History Of

Abstract Background The prevalence of kidney stones in the world is increasing and environmental factors seem to play a major role in this issue. The aim of the present study was to investigate the prevalence of risk factors of kidney stones in the adult population of Rafsanjan city based on the data of the Rafsanjan Cohort Study (RCS). Methods In the baseline phase of this study, 10,000 people aged 35 to 70 years are enrolled in the RCS, as one of the prospective epidemiological research studies in Iran. From this population, 9932 participants completed related demographic questionnaires as well as reported a history of diabetes mellitus, kidney stone, and hypertension diseases. The obtained data were analyzed using univariable and multivariable logistics regression. Results According to the obtained results, 46.54% of the studied population were male and 53.46% were female. The mean age of the participants was 49.94 ± 9.56 years. 2392 people accounting for 24.08% of the population had kidney stones. After adjustment of the variables, six variables of gender, WSI, no consumption of purified water, BMI, and history of hypertension and diabetes were found to be significant related factors of kidney stone disease. Conclusions Gender, hypertension, obesity, diabetes, and personal habits like alcohol consumption, opium use and, cigarette smoking are effective in the development of kidney stones. So, by identifying the susceptible patients and teaching them, the burden of the disease on society and the individual can be reduced. The results of this study are helpful to health care providers for preventive planning for kidney stone disease.

scholarly journals Penetrating Proximity Wounds and Minimal Arterial Injuries may not be so Benign

2019 ◽  
pp. 1-4
Author(s):  
Jonathan Gates ◽  
Dina Tabello ◽  
Alfred Croteau ◽  
Adam Shen ◽  
Nishant Merchant
Keyword(s):  
Natural History ◽  
Watchful Waiting ◽  
Arterial Injury ◽  
Standard Approach ◽  
Vascular Injuries ◽  
Arterial Injuries ◽  
History Of

There is a well-established body of literature in the management of vascular injuries that underscores the benign natural history of minor so-called occult arterial injuries. The standard approach for the management of the proximity extremity wound has evolved into one of watchful waiting. We present a case of an occult arterial injury that declared itself with an acute arterial bleed after about 30 hours of observation indicating that caution and preparation remain critical in the management of these patients.

scholarly journals A Case of Laparoscopic Ureteric Reimplantation in a Solitary Urinary System

2014 ◽  
Vol 5 (1) ◽  
pp. 39-43
Author(s):  
Karl H. Pang ◽  
Saiful Miah ◽  
Mark D. Haynes ◽  
Neil E. Oakley
Keyword(s):  
Treatment Options ◽  
Solitary Kidney ◽  
Stone Disease ◽  
Pelvic Surgery ◽  
Urinary System ◽  
Ureteric Reimplantation ◽  
Ureteric Stenting ◽  
Preserve Renal Function ◽  
History Of ◽  
Ureteric Stricture

Ureteric strictures can be caused by traumatic pelvic surgery, urolithiasis and instrumentation. There are various treatment options for ureteric stricture, including laparoscopic ureteric reimplantation. A 56-year-old female with a history of chronic left pelviureteric junction obstruction presented with urosepsis secondary to right-sided urolithiasis. The patient had a left nephrectomy and developed right-sided ureteric stricture following repeated ureteroscopy to manage her stone disease. The treatment with ureteric stenting was unsuccessful. Here we present a case on the feasibility of laparoscopic reimplantation for ureteric stricture in a solitary kidney to preserve renal function and avoid further ureteroscopy or nephrostomies.

A Prospective Study of Dietary Calcium and Other Nutrients and the Risk of Symptomatic Kidney Stones

2021 ◽  
pp. 189-192
Author(s):  
Michael S. Borofsky ◽  
Vincent G. Bird
Keyword(s):  
Observational Study ◽  
Prospective Study ◽  
Kidney Stones ◽  
Calcium Intake ◽  
Dietary Calcium ◽  
Stone Disease ◽  
Dietary Calcium Intake ◽  
History Of ◽  
The Mean ◽  
A Prospective Study

This chapter reviews the results of an important observational study seeking to establish how, in individuals without a history of nephrolithiasis, dietary calcium intake is associated with the risk of symptomatic stone disease. The study found that the mean daily dietary calcium intake was lower in the group who formed stones compared to those who did not and that, after adjusting for covariates, high daily dietary calcium intake was strongly associated with decreased risk of stones.

scholarly journals What is the relationship of stress to patients' kidney stone-related quality of life?

2020 ◽  
Vol 15 (5) ◽  
Author(s):  
Colin Lundeen ◽  
Jonathan R.Z. Lim ◽  
Kymora B. Scotland ◽  
Reza Safaee Ardekani ◽  
Kristina L. Penniston ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Kidney Stones ◽  
Kidney Stone ◽  
Stone Disease ◽  
Life Questionnaire ◽  
General Stress ◽  
Related Quality ◽  
Relationship Of ◽  
The Relationship

Introduction: Health-related quality of life (HRQOL) is decreased in patients with kidney stones at all stages of stone disease, even when asymptomatic. Stress is thought to contribute to HRQOL, although there has been minimal investigation into the effect of stress on stone-related quality of life (QOL). We used the Wisconsin Stone Quality of Life Questionnaire (WISQOL) to assess the relationship of stress to stone-related QOL in kidney stone patients. Methods: As part of the WISQOL Research Consortium, patients were approached in outpatient clinics and completed the WISQOL and the Perceived Stress Scale 10-item questionnaire (PSS-10). Patients with stones at enrollment were divided into those with symptoms and those without, while patients with no current stones formed another group. Questionnaire scores from each group were compared statistically and correlations between the groups were calculated. Results: Patients (n=704) were enrolled from six centers. The WISQOL successfully discriminated between patients with current stones and those without (p<0.0001), while the PSS-10 did not (p=0.0869). The PSS-10 revealed patients with symptomatic kidney stones experienced higher levels of general stress than asymptomatic subjects (p<0.0001). However, a Pearson correlation test comparing the responses from each instrument revealed no overall correlation between general stress and HRQOL (r=0.05). Conclusions: Symptomatic kidney stones increase general stress, as these patients demonstrate higher PSS-10 scores. Despite this, no correlation exists between general stress and stone-related QOL in patients with stone disease regardless of their stone and symptom status. This implies the existence of other factors impacting QOL in these patients, which warrants further exploration.

Watchful waiting for stone disease

2017 ◽  
Author(s):  
John Reynard ◽  
Ben Turney
Keyword(s):  
Natural History ◽  
Predictive Power ◽  
Renal Stones ◽  
Stone Disease ◽  
Stone Size ◽  
Number Of Patients ◽  
Natural History Studies ◽  
Stone Migration ◽  
History Of ◽  
Ureteric Colic

Renal stones are highly prevalent and while many cause symptoms or are of a size that requires treatment even if asymptomatic, the natural history of stones suggests that treatment may not be necessary in all cases. Stone size, position, and number are related, to a degree, to the likelihood of a subsequent stone event such as stone migration causing ureteric colic or increase in stone size, but the predictive power of ‘natural history’ studies is limited by the small number of patients in these studies. In this chapter, the evidence for watchful and waiting for asymptomatic stone disease is explored, and situations in which it is reasonable and conversely unreasonable are discussed.

scholarly journals Management and outcome of heterotopic interstitial pregnancy: Case report and review of literature

Ultrasound ◽  
2017 ◽  
Vol 25 (3) ◽  
pp. 134-142 ◽  
Author(s):  
Wendy Dendas ◽  
Jean-Christophe Schobbens ◽  
Greet Mestdagh ◽  
Liesbeth Meylaerts ◽  
Geert Verswijvel ◽  
...  
Keyword(s):  
Birth Rate ◽  
Watchful Waiting ◽  
Clinical Presentation ◽  
Treatment Options ◽  
Live Birth Rate ◽  
Second Trimester ◽  
Intrauterine Pregnancy ◽  
Interstitial Pregnancy ◽  
History Of ◽  
Ivf Et

Objective To report a case of heterotopic interstitial pregnancy after in vitro fertilization-embryo transfer (IVF-ET), presenting with a second trimester uterine rupture. To review the clinical presentations, risk factors, treatment options, and outcome of heterotopic interstitial pregnancies. Methods We describe the clinical presentation, management, and outcome of a patient with a heterotopic interstitial pregnancy, diagnosed following second trimester rupture of the interstitial pregnancy. We reviewed all published cases of heterotopic interstitial pregnancies. Results A 35-year-old pregnant woman with a past history of right adnexectomy and 16 weeks pregnant with dichorionic diamniotic twins following IVF-ET, was admitted to our department with unexplained recurrent abdominal pain and anemia. Further investigation showed a hemoperitoneum and because of hypovolemic shock an emergency laparotomy was performed, with diagnosis of a ruptured heterotopic interstitial pregnancy. The uterine defect was sutured using simple interrupted sutures. The intrauterine pregnancy progressed uneventful afterwards. We found 86 cases in the published literature, reporting on heterotopic interstitial pregnancies. 80.2% (69/86) occurred after IVF-ET. History of uni- or bilateral salpingectomy is a major risk factor, present in 39.5% (34/86). 37.2% (32/86) presented with cornual rupture. Surgery was performed in 53.5% (46/86) of cases. Medical management was possible in case of unruptured, early diagnosed heterotopic interstitial pregnancy (32.6% (28/86)). Watchful waiting was only possible when the interstitial pregnancy miscarried (5.8% (5/86)). The live birth rate of the intrauterine pregnancy, when viable at presentation, was 70.0% (56/80). The live birth rate of the interstitial pregnancy was only 4.7% (4/86). Conclusions The majority of cases are diagnosed by detailed ultrasound in the setting of early follow-up after IVF-ET and are asymptomatic at diagnosis. Yet, a substantial number of patients present with cornual rupture. Risk factors are IVF-ET and a history of salpingectomy. Depending on clinical presentation, treatment options include watchful waiting, medical treatment, or surgery. Unfortunately, the interstitial pregnancy is generally lost, and only has a chance of survival in case of presentation at a viable gestational age. The outcome of the coexisting intrauterine pregnancy is generally good.

scholarly journals Association of Metabolic Syndrome Parameters with Kidney Stones in Indonesia

2019 ◽  
Vol 8 (2) ◽  
pp. 88-98
Author(s):  
La’elatul Fazriyah ◽  
Mahalul Azam ◽  
Indah Septiani ◽  
Yuni Wijayanti
Keyword(s):  
Metabolic Syndrome ◽  
Kidney Stones ◽  
Kidney Stone ◽  
Central Obesity ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Stone Disease ◽  
Dominant Factor ◽  
Chi Square ◽  
Cross Sectional

Kidney stone disease is common throughout the world. Elevated prevalence of kidney stones is often associated with metabolic syndrome itself. This study aimed to assess the association between kidney stones and metabolic syndrome parameters in differences gender. This was a cross-sectional study with Chi-square and multivariate logistic regression for data analysis from the secondary data Riskesdas 2013 with 26,063 respondents. Diagnosis of kidney stone based on Riskesdas 2013 interview, metabolic syndrome based on NCEP ATP-III and PERKENI. Result showed that there were 226 (0.9%) diagnosed kidney stones cases by doctors. After adjustment age, central obesity was dominant factor which associated with the risk of kidney stones in male (OR 1.9; 95% CI 1.3-2.9; p=0.003) and metabolic syndrome was dominant factor which associated with the risk of kidney stones in female (OR 6.1; 95% CI 3.4-11.3; p<0.001). The conclusion was that metabolic syndrome and central obesity were associated with risk of kidney stones.

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