Gender Differences in Kidney Stone Disease (KSD): Findings from a Systematic Review

Gillams, Kathryn; Juliebø‐Jones, Patrick; Juliebø, Siri Øvereng; Somani, Bhaskar

doi:10.1007/s11934-021-01066-6

Cited by 60 publications

(38 citation statements)

References 59 publications

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“…1 , 2 With an increase in the lifetime prevalence, females are now almost as equally affected as males. 3 Due to the anatomy of the lower pole, which is below the ureteropelvic junction, stones frequently tend to form and aggregate in the lower pole group of calices. With the infundibulo-pelvic angle (IPA), lower pole stones (LPS) are more difficult to access and hence have a lower stone free rate (SFR) often necessitating secondary therapeutic procedures.…”

Section: Introductionmentioning

confidence: 99%

Role of low- versus high-power laser in the treatment of lower pole stones: prospective non-randomized outcomes from a university teaching hospital

Pietropaolo

Mani

Hughes

et al. 2022

Therapeutic Advances in Urology

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Introduction: Ureteroscopy and laser stone fragmentation [flexible ureteroscopy and laser lithotripsy (FURSL)] has risen over the last two decades. Laser technology has also evolved over the time, shifting from low- to high-power lasers with the addition of MOSES technology that allows for ‘dusting and pop-dusting’ of stones. The aim of the study was to look at the outcomes of FURSL in lower pole stones (LPS) using low- and high-power lasers. Patient and Methods: In this study, we compared the outcomes of low-power holmium laser (group A, 20 W) and high-power holmium laser (group B, including both 60 W MOSES integrated system and 100 W lasers) for all patients with LPS treated with laser lithotripsy. Data were collected for patient demographics, stone location, size, pre- and postoperative stent, length of stay, complications and stone free rate (SFR). Results: A total of 284 patients who underwent FURSL procedure for LPS were analysed (168 group A, 116 group B). Outcomes showed that compared with group A, group B had a higher SFR (91.6% versus 96.5%, p = 0.13) and shorter operative time (52 versus 38 min, p < 0.001). The median length of stay was <24 h in all groups (day-case procedures). The complication rate was comparable between the two groups but with more infectious complications ( n = 7) noted in group A compared with group B ( n = 3) ( p = 0.53). Conclusion: Compared with low-power laser, the use of high-power laser for LPS significantly reduced the use of ureteral access sheath (UAS), postoperative stent and procedural time. Although non-statistically significant, the SFR was higher in the high-power group even for relatively larger stone sizes, which was also reflected in a reduction of sepsis-related complication rates with these lasers.

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Section: Introductionmentioning

confidence: 99%

Role of low- versus high-power laser in the treatment of lower pole stones: prospective non-randomized outcomes from a university teaching hospital

Pietropaolo

Mani

Hughes

et al. 2022

Therapeutic Advances in Urology

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“…The development of kidney calculi presents obvious sex differences. In addition, both risk factors and consequences of urolithiasis are distinct in different genders [ 5 ]. Seolhye et al.…”

Section: Introductionmentioning

confidence: 99%

Sex disparities and the risk of urolithiasis: a large cross-sectional study

Liu

Xia

et al. 2022

Annals of Medicine

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“…Historically, there has been a male predominance in urolithiasis. As mentioned earlier, the current literature demonstrates that the prevalence of urolithiasis among female individuals has been rising [38]. Notably, the trends in the prevalence and incidence of urolithiasis among men were inconsistent across studies.…”

Section: Resultsmentioning

confidence: 87%

Prevalence and trends of urolithiasis among adults

Abufaraj

Karmi

Yang

2022

Current Opinion in Urology

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Purpose of reviewThe purpose of this article is to review and synthesize the current literature on the epidemiology of urolithiasis.Recent findingsThe global patterns of urolithiasis are changing, as the prevalence of urolithiasis appears to be increasing across the world. Geographical variation in the prevalence of urolithiasis is noted across countries and within each country. Although urolithiasis is more common among men and white race, recent data suggests a more prominent rise in the prevalence among women and African Americans. Yet, no conclusive explanations for these phenomena are reported so far.SummaryUrolithiasis is a highly prevalent condition with an increasing prevalence among women as compared with men closing the gender gap in urolithiasis. Further studies are needed to identify the potential causes for this observation.

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Gender Differences in Kidney Stone Disease (KSD): Findings from a Systematic Review

Cited by 60 publications

References 59 publications

Role of low- versus high-power laser in the treatment of lower pole stones: prospective non-randomized outcomes from a university teaching hospital

Role of low- versus high-power laser in the treatment of lower pole stones: prospective non-randomized outcomes from a university teaching hospital

Sex disparities and the risk of urolithiasis: a large cross-sectional study

Prevalence and trends of urolithiasis among adults

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