Incidence, prevalence and mortality of urolithiasis in the German Federal Republic

Vahlensieck, E. W.; Bach, D.; Hesse, Albrecht

doi:10.1007/bf00255937

Cited by 54 publications

(38 citation statements)

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“…[1] The prevalence of stone disease has been reported as 2.8% in the USA, 1.5% in the Europe, and 14.8% in our country. [2][3][4] In parallel with the technological advances in the treatment of renal stones, lower morbidity, and higher stone-free rates have been achieved. Previously, renal stones have been treated with open surgery, while currently many minimally invasive treatment modalities as electroshock wave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL), retrograde intrarenal surgery (RIRS), and laparoscopic surgery can be used in place of the open surgery.…”

Section: Introductionmentioning

confidence: 99%

Flexible ureterorenoscopy results: Analysis of 279 cases

Elbir

Basibuyuk

Topaktaş

et al. 2015

Turkish Journal of Urology

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Objective: In this study, the outcomes of 279 cases in whom we performed retrograde intrarenal surgery (RIRS) were evaluated retrospectively. Material and methods:RIRS was performed on 279 cases with the aid of access sheath of guidewire between March 2011 and February 2015. All patients were operated in the standard lithotomy position. A hydrophilic guidewire was inserted with the aid of rigid ureterorenoscopy and we checked whether there were any residual ureteral stones and other pathologies. Fluoroscopy was used routinely in all cases. Stone fragments smaller than 3 mm were left off but those bigger than 3 mm were removed by grasper after stone fragmentation. Controls of the patients were assessed by plain films (KUB), urinary tract ultrasonography (US) and/or computed tomography (CT) 1 month after the operation. Success rate of the procedure was defined as the stone-free status or presence of residual fragments less than 3 mm.Results: 152 of the patients were male and 127 were female. The median ages of the male and female patients were 47.7 (1-86) ve 45.9 (3-79) years respectively. The median stone size was 13.5 mm (8-25). Preoperatively 34 (12.1%) patients had double-J ureteral stent. 19 (6.8%) patients were operated while they were still receiving antithrombotic and antiplatelet therapy Solitary kidney was present in 24 patients while the remaining patients had kyphoscoliosis (n=3), rotation anomaly (n=6), pelvic kidney (n=2), double collecting system (n=3), and horseshoe kidney (n=6). In 264 patients access sheath was used, in 15 patients operation was performed with the help of the guidewire. Double-J stents were inserted to 14 patients because of ureteral stricture and they underwent operation after 2 weeks later. Renal stones of 219 patients among all cases were fragmented completely and the patients were discharged as stone free (SF). Our success rate (SF or presence of clinically insignificant residual [CIRF]) was 78.4%. Stone size (p= 0.029), stone number (p= 0.01), stone location (p= 0.023) had significant influence on the stone-free rate after RIRS The mean operation and floroscopy time was 62.5 min. (40-180) and 29.8 sec (4-96), respectively. The mean hospitalization time was 26.4 hours (12-72). Double J stents were placed to 253 patients for more stone burden and ureteral edema. Any complication was not observed for all cases except perioperative developed infection for two patients. Conclusion:With advances in laser technology and flexible ureterorenoscopy, kidney stones can be treated with lower morbidity and high success rates.

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Section: Introductionmentioning

confidence: 99%

Flexible ureterorenoscopy results: Analysis of 279 cases

Elbir

Basibuyuk

Topaktaş

et al. 2015

Turkish Journal of Urology

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“…Türkiye taş prevelansı %14.8 olarak bildirilmiş olup, bu oran ABD'de %2-8, Avrupa'da %1-5 arasında tespit edilmiştir. [1][2][3][4] Taş insidansının Türkiye'nin coğrafik bölgeleri arasında da etyolojik faktörlere bağlı olarak farklılık gösterdiği bilinmektedir. Güneydoğu Anadolu Bölgesi'nde yöreye özgü beslenme şekilleri, iklim koşulları ve az sıvı tüketimine bağlı bu oran diğer bölgelerden daha yüksektir.…”

Section: Introductionunclassified

The approach of urologists to kidney stones in southeastern Anatolia: a questionnaire survey

Erturhan¹,

Bayrak²,

Penbegül³

et al. 2012

Turkish Journal of Urology

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Objective: It is aimed to investigate the possible differences of urologist in the Southeastern Anatolia Region concerning kidney stone disease about treatment selections and processes. We also aimed to provide data to all institutions that perform educational activities in our country, including the Turkish Association of Urology and Endourology. Our study also sought to determine the treatment priorities in our region. Material and methods:A questionnaire consisting of 22 questions was prepared and delivered to urologists by hand or by electronic mail. The responses from 66 urologists were evaluated, and the differences were calculated as percentages. Results:The distribution of the experts participating in the study was as follows: 39% were from a state hospital, 22% were from a private hospital, 7% were from a teaching hospital, and 30% were from a university hospital. Among urologists who opted for surgical treatment, 57% preferred open surgery, 41% preferred percutaneous nephrolithotomy (PNL), and 1% preferred retrograde intrarenal surgery (RIRS). In this study, 78% of the urologists performed PNL, and 55% of them began performing PNL after residency. Among the urologists in this study, 42% chose PNL for renal stone disease in pediatric patients. Support from interventional radiology was available in 40% of the clinics. Only 22% of the urologists were trained for RIRS, and 48% of the urologists have an extracorporeal shock wave lithotripsy (SWL) unit in their clinic. In symptomatic lower calyx stones, the first treatment choice was PNL in 59% of respondents. For coraliform stones, open surgery was preferred by 63%. Conclusion:In the Southeastern Anatolia region where kidney stone disease is endemic, surgical treatment is successfully applied by urologists. However, treatment programs in PNL and RIRC should be emphasized in this area.Key words: Intrarenal surgery; kidney stone disease; nephrolithotomy; percutaneous; retrograde open surgery. ÖZETAmaç: Güneydoğu Anadolu Bölgesinde çalışan üroloji uzmanlarının böbrek taş hastalığındaki; tedavi seçimlerinde ve süreçlerinde olası farklılıkların ortaya koyulması amaçlandı. Aynı zamanda ülkemizde eğitim faaliyetlerinde bulunan Türk Üroloji ve Endoüroloji Dernekleri başta olmak üzere tüm kurumlara bölgemizle ilgili önceliklerin belirlenmesi konusunda veri sağlanması planlandı. Gereç ve yöntemler:Kliniğimizde 22 sorudan oluşan anket formu hazırlandı. Bölgemizde çalışan üroloji uzmanlarına elden ve ya elektronik posta yoluyla anket formu ulaştırıldı. Altmış altı üroloji uzmanından alınan sonuçlar arasındaki farklılıklar (%) oranlarıyla hesaplandı. Bulgular: Çalışmaya katılan uzmanların dağılımı; %39 Devlet Hastanesi, %22 Özel Hastane, %7 Eğitim Hastanesi, %30 Üniversite Hastanesi şeklindeydi. Cerrahi kararı verilmiş böbrek taş hastalığı olan hastalarda açık cerrahi: %57, perkütan nefrolitotomi (PNL): %41, retrograd intrarenal cerrahi (RİRC): %1 oranında tercih edilmekteydi. Uzmanların %78'inin PNL uyguladığı ve bunların %55'inin uzman olduktan sonra PNL yapma...

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“…En décadas recientes la prevalencia de la litiasis urinaria en Europa y Estados Unidos ha aumentado del 3,5 -7% al 10-17% [1][2][3][4][5][6][7][8][9][10][11] . Además, al igual que en otros países industrializados, ha aumentado el porcentaje de las litiasis renales y de oxalato cálcico 12 , por lo que el oxalato cálcico es ahora la litiasis más común en los estudios epidemiológi-cos.…”

Section: Introductionunclassified

Un nuevo enfoque en el análisis de la litiasis urinaria en función de la combinación de sus componentes: experiencia con 7.949 casos

et al. 2011

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Resultados: oxalato cálcico monohidrato (OCM) fue el componente más frecuente en hombres (39%) y mujeres (37,4%), seguido de oxalato cálcico dihidrato (OCD) (28%) y ácido úrico (URI) (14,6%) en hombres y de fosfato (FOS) (22,2%) y OCD (19,6%) en mujeres (p = 0,0001). En la gente joven OCD y FOS fueron los componentes más frecuentes en hombres y mujeres, respectivamente (p = 0,0001). En los pacientes mayores OCM y URI (por este orden) fueron los componentes más frecuentes en ambos sexos (p = 0,0001). OCM es oxalatodependiente y está relacionado con las dietas de alto contenido en oxalato y baja ingesta de agua. El aumento progresivo de URI con la edad se relaciona principalmente con el sobrepeso y el síndrome metabólico. Respecto a la combinación de componentes, las más frecuentes fueron OCM (26,3%), OCD + Apatita (APA) (15,5%), URI (10%) y OCM + OCD (7,5%) (p = 0,0001). Conclusiones: este estudio presenta no sólo la composición de las litiasis, sino también las principales combinaciones de componentes en función de la edad y el sexo. Los resultados muestran que la composición de la litiasis está relacionada con los cambios en los hábitos dietéticos y de estilo de vida que ocurren durante la vida, y la estructura morfológica de las litiasis es indicativa de los mecanismos etiopatogénicos.

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Incidence, prevalence and mortality of urolithiasis in the German Federal Republic

Cited by 54 publications

References 3 publications

Flexible ureterorenoscopy results: Analysis of 279 cases

Flexible ureterorenoscopy results: Analysis of 279 cases

The approach of urologists to kidney stones in southeastern Anatolia: a questionnaire survey

Un nuevo enfoque en el análisis de la litiasis urinaria en función de la combinación de sus componentes: experiencia con 7.949 casos

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