A clinical example of percutaneous nephrolitolapaxy of complete staghorn kidney stone in patient with lumbar renal dystopia

Urinary stone disease (urolithiasis, UL) is one of the most prevalent diseases in the world affecting almost 3% of the population, mainly people of working age from 40 to 50 years, which determines the relevance of a comprehensive study of this disease. Meanwhile, few works devoted to the interrelation between UL and renal abnormalities have been published. The unusual nature of angioarchitectonics, location, shape, structure, number of kidneys and upper urinary tract make it difficult to perform both open and endoscopic surgery thus preconditioning the reduction of their effectiveness and increasing the number of complications. In recent years, the number of indications for open stone surgery has significantly decreased. Percutaneous surgery has become widely used in endourology, including treatment of abnormal kidneys. However, the issues of percutaneous nephrolitolapaxy (PCNL) in kidney abnormalities have not been completely resolved yet. The article presents a clinical case of successful percutaneous nephrolitolapaxy of complete coral-shaped kidney stone (Class 4) in a patient with lumbar renal dystopia.

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MP12-14 THE UPPER URINARY TRACT MICROBIOME IS MODULATED BY STONE TYPE AND PATIENT AGE IN URINARY STONE DISEASE: A PILOT STUDY

The Journal of Urology ◽

10.1016/j.juro.2017.02.436 ◽

2017 ◽

Vol 197 (4S) ◽

Author(s):

Manint Usawachintachit ◽

Douglas Fadrosh ◽

Susan Lynch ◽

Thomas Chi

Keyword(s):

Urinary Tract ◽

Pilot Study ◽

Urinary Stone ◽

Upper Urinary Tract ◽

Stone Disease ◽

Patient Age ◽

Urinary Stone Disease ◽

Patient Âgé ◽

Stone Type

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Clinical Pattern of Urinary Stone Disease in Our Setting

Annals of King Edward Medical University ◽

10.21649/akemu.v15i1.25 ◽

2010 ◽

Vol 15 (1) ◽

Author(s):

Jan Muhammad Memon ◽

M. Amin Athar ◽

Anwar Ali Akhund

Keyword(s):

Urinary Tract ◽

Urinary Calculi ◽

Urinary Stone ◽

Upper Urinary Tract ◽

Stone Disease ◽

Female Ratio ◽

Urinary Stone Disease ◽

Clinical Pattern ◽

Male Predominance ◽

Urinary Tract Stones

Objectives: To study the basic clinical pattern of urinary stone disease in our setting.Study design: Descriptive study.Setting: Department of surgery of Nawabshah Medical College Nawabshah over a period of 4 years between August 2003to August 2007.Subjects: A total of 257 urolith patients with different stone burden enrolled in the study.Methodology: Structured and standardized history and clinical investigations collected in all of urolith patients. Thediagnosis of stone disease was based on history, physical examination followed by KUB x-ray, ultrasonography and IVU .Allpatients subjected to open stone surgery. The data were analyzed prospectively with outcome measures of gender, stonelocation, clinical presentation and operative procedures.Results: Out of 257 patients 181 (70.42%) were male and 76 (29.56%) female with male to female ratio of 2.3:1.The ageranged from 1 year to 80 with the mean of 25.8 years. The peak incidence of upper urinary tract stones was in 20-30 yearswhile lower urinary tract stones in both sexes were under 10 years (Table 1). Anatomical distribution of stone showed 116(45.16%) renal, 21 (8.17%) ureteric, 108 (42%) bladder and 12 (4.66%) urethral calculi (Table 2). The commonest clinicalpresentation was that of pain in 67.31% of patients associated with haematuria in 26.7% of cases. Clinical urinary tractinfection (UTI) was in 15% and 8.9% of patients had spontaneous stone passage (lithuria). The symptoms of bladder outletobstruction (BOO) including retention of urine were in 7% of cases. Calculus anuria was in 1.9% of cases and 8.1% patientshad asymptomatic stones. Bilithiasis (chole-nephrolithiasis) was in 5% of cases (Table 3). Open stone surgery included 84(32.68%) simple pylolithotomies, 15 (5.83%) extended pylolithotomies, 6 (2.33%) pylolithotomy and pyloplasty, 5 (1.94%)nephrolithotomy, 6 (2.33%) nephrectomies, 21 (8.17%) uretrolithotomy, Cystolithotomy was 113 (43.96%) cystolithotomy, 2(0.77%) urethrolithotomy and meatotomy in 5 (1.94%) of patients.Conclusion: Urolithiasis is increasing problem with high frequency of bladder stones and male predominance in our part ofSindh province. Open surgery is still needed to treat the patients where modern and minimally invasive therapeutic modalitiesare out of reach and non-availability in public sector. Establishment of modern stone clinics in rural setup is the need oftoday’s medical practice.Keywords: Urinary calculi, Clinical profile, Open stone surgery.

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Methods of Drainage of the Upper Urinary Tract with Obstructive Purulent Pyelonephritis Caused by the Urinary Stone Disease

Health of Man ◽

10.30841/2307-5090.4(55).2015.104763 ◽

2015 ◽

Vol 0 (4(55)) ◽

pp. 106-109

Author(s):

Р. Р. Загоруйко

Keyword(s):

Urinary Tract ◽

Urinary Stone ◽

Upper Urinary Tract ◽

Stone Disease ◽

Urinary Stone Disease

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Urinary Stone Disease in Pregnancy: Current Management Practices in a Large National Cohort

Urology ◽

10.1016/j.urology.2020.03.050 ◽

2020 ◽

Vol 142 ◽

pp. 60-64

Author(s):

Kyle Spradling ◽

Ericka M. Sohlberg ◽

Shufeng Li ◽

Chiyuan Amy Zhang ◽

William D. Brubaker ◽

...

Keyword(s):

Management Practices ◽

Urinary Stone ◽

Stone Disease ◽

Current Management ◽

Urinary Stone Disease ◽

National Cohort ◽

In Pregnancy

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Re: Penbegül et al.: Safety and Efficacy of Ultrasound-guided Percutaneous Nephrolithotomy for Treatment of Urinary Stone Disease in Children (Urology 2012;79:1015-1019)

Urology ◽

10.1016/j.urology.2012.04.060 ◽

2012 ◽

Vol 80 (5) ◽

pp. 1166-1167

Author(s):

Swarnendu Mandal ◽

Rohit Kathpalia ◽

Satyanarayan Sankhwar

Keyword(s):

Percutaneous Nephrolithotomy ◽

Urinary Stone ◽

Stone Disease ◽

Ultrasound Guided ◽

Urinary Stone Disease ◽

Safety And Efficacy

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Nutrition and Kidney Stone Disease

Nutrients ◽

10.3390/nu13061917 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1917

Author(s):

Roswitha Siener

Keyword(s):

Kidney Stone ◽

Fluid Intake ◽

Stone Formation ◽

Urinary Stone ◽

Stone Disease ◽

Urinary Stones ◽

Dietary Therapy ◽

Effective Prevention ◽

Kidney Stone Disease ◽

Nutrition And Diet

The prevalence of kidney stone disease is increasing worldwide. The recurrence rate of urinary stones is estimated to be up to 50%. Nephrolithiasis is associated with increased risk of chronic and end stage kidney disease. Diet composition is considered to play a crucial role in urinary stone formation. There is strong evidence that an inadequate fluid intake is the major dietary risk factor for urolithiasis. While the benefit of high fluid intake has been confirmed, the effect of different beverages, such as tap water, mineral water, fruit juices, soft drinks, tea and coffee, are debated. Other nutritional factors, including dietary protein, carbohydrates, oxalate, calcium and sodium chloride can also modulate the urinary risk profile and contribute to the risk of kidney stone formation. The assessment of nutritional risk factors is an essential component in the specific dietary therapy of kidney stone patients. An appropriate dietary intervention can contribute to the effective prevention of recurrent stones and reduce the burden of invasive surgical procedures for the treatment of urinary stone disease. This narrative review has intended to provide a comprehensive and updated overview on the role of nutrition and diet in kidney stone disease.

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