PTU - Polskie Towarzystwo Urologiczne
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Some problems of the recurrent urolithiasis. PART I.: The diagnostic and Prognostic valuc of the urine composition.
Article published in Urologia Polska 1996/49/2.

authors

Elżbieta Panasiuk-Jarzyło
Z Instytutu Medycyny Wewnętrznej Centralnego Szpitala Klinicznego Wojskowej Akademii Medycznej w Warszawie
kierownik: prof. dr hab. med. Marian Cholewa.

keywords

urinary tract nephrolithiasis biochemical procedures.

summary

57 patients with recurrent urolithiasis lasting 12,9-10,5 years (29 F and 28 M
at age 48,3-12,4 years) were studied with respect to some parameters of 24-hour
urine composition. More than 80% of all patients had significant metabolic abnor-
malities contributing to their stone formation. Most common were: hypocitracuria
52,6%), hyperuricosuria (48,9%), hypercalciuria (35%
Only hyperuricosuria and urinary saturation ratio with uric acid correlated si-
gnificantly with urolithiasis activity measured by new calculi per year per patient.

references

  1. 1. Coe E: Clinical stone disease. W: Nephrolithiasis. Wyd.: Coe R, Brcnner B., Stein J.
  2. Churchil Livingstone. N.Y., Edinburgh, London, 1980,1.
  3. 2. Smith L:, Calcium - containing renal stones. Kidney Int., 1978, 13, 383.
  4. 3. Chaussy C, Fuchs G':. ESWL: Die Evolution einer Revolution. Urologe (A), 1989,
  5. 28, 126.
  6. 4. Pak C: Medical management of nephrolithiasis. J.Urol., 1982, 128, 1157.
  7. 5. Preminger G.: The metabolic evaluation of patients with recurrent nephrolithiasis: a
  8. revicw of comprehensive and Simplified approaches. J.Urol., 1989, 141, 760.
  9. 6. Marshall R., Robertson W: Nomograms for the estimation of saturation of urine
  10. calcium oxalate, calcium phosphate, magnesium ammonium phosphate, uric acid,
  11. sodium acid urate, urate and cystine. Clin.Chim.Acta., 1976, 72. 253.
  12. 7. Hesse A., Klocke K., Schaejfer R. i wsp.: Ergebnisse von Stoffwechseluntcrsuchun-
  13. geu bei 354 Kalzium - Rezidiv - Harnsteinpatienten. Fortschr.Urol. Nephrol., 1986,
  14. 25, 15.
  15. 8. Erickson S:. When should the stone patient be evaluated? Limited evaluation of sin-
  16. gle stone formers. Med. Clin. North. Am., 1984, 68, 464.
  17. 9. Nikkila M., Korula T., Jokela II: Urinary citrate excretion in patients with urolithia-
  18. sis and normal subjects. Eur.Urol.,1989, 16, 382.
  19. 10. Buiz M., Dulce II:. Enhancement of urinary citrate in oxalate stone formers by the
  20. intake of kalinę salts. W: Urolithiasis, clinical and basic research. Smith L., Robert-
  21. son W., Finlayson B. Wyd.: N.Y.Plenum Press, 1981, 881.
  22. 11. Ettinger B:. Does hyperuricosuria play a role in calcium oxalate lithiasis? J.Urol.,
  23. 1989, 141, 738.
  24. 12. Holmes E.Jr.: Uric acid nephrolithiasis. W: Nephrolithiasis. Wyd.: Coe F., Brenner
  25. B? Stein J. Churchil Livingstone. N.Y. Edinburgh, London, 1980, 180.
  26. 13. Peacock M.: The mechanisms of hypercalciuria are unnecesary for treatment of re-
  27. current renal calcium stone fonners. Contrib. Nephrol., 1982, 33, 152.
  28. 14. Marshall R., Cohrcui M., Hodgkinson A.: Relationship between calcium and oxalate
  29. acid intake in the diet and their excretion in the urine of normal and renal stone -
  30. forming subjects. Clin.Sci., 1972, 43, 91.
  31. 15. Robertson W., Peaeock M, Heyhurn P. i wsp.: Risk factors in calcium stone disease
  32. of urinary tract. Br. J. Urol., 1978, 50, 449.
  33. 16. Strauss A., Coe F, Deutsch L. i wsp.: Factors that predict relapse of calcium nephro-
  34. lithiasis during treatment. Am. J. Med., 1982, 72, 17.
  35. 17. Ryall R., Marshall R.: The value of the 24-hour urine analysis in the assesement of
  36. stone fonners attending a general hospital outpatient clinic. Br. J. Urol., 1984, 56,
  37. 116.
  38. 18. Tiselius H.G., Almgard L., Larson L. i wsp.: A biochemical basis for grouping of
  39. patients with nephrolithiasis. Eur. Urol., 1978, 4, 241.
  40. 19. Ilesse A., Mierseh W.D.: Special aspects of stone composition and aetiology of diffe-
  41. rent types of urinary calculi. Int. Urol. Nephrol., 1989, 21, 257.