Role of biomarkers of acute kidney damage during lithotripsy of high-density stones

In this review of literature the authors provide information on the history of the development of treatment of patients with cystolithiasis with benign prostatic hyperplasia (prostate adenoma), as well as basic information regarding the most common and effective methods of treating this nosology. Cystolithiasis is one of the forms of manifestation of urolithiasis, characterized by the presence of stones in the bladder. Almost 70 % of this pathology occurs in patients with benign prostatic hyperplasia. Medical, economic and social significance is that the majority of patients from this group are of active, working age. Historical data show that this pathology has always been a serious problem requiring surgical intervention and often leading to the patient's disability. In turn, this pathology gave a serious impetus to the development of surgery and urology in particular. Only in the twentieth century it was possible to achieve a significant result in the treatment of this disease due to the improvement in the quality of nutrition, the beginning of the use of antibacterial therapy and the development of endourology.

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Historical and modern methods of treatment of patients with bladder stones with benign prostatic hyperplasia

Nazarov

Рычков

Nikolaev

et al. 2021

Androl. genit. hir.

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Application of improved percutaneous cystolithotripsy in patients with benign prostatic hyperplasia

Nazarov

Рычков

Nikolaev

et al. 2021

Androl. genit. hir.

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Introduction. The article presents an improved method of percutaneous cystolithotripsy. The results of its application are described and a comparison is made with the traditional method of transurethral cystolithotripsy with lithoextraction. The study objective is development of a comprehensive method of treating patients with bladder stones arising against the background of bladder outlet obstruction caused by benign prostatic hyperplasia (BPH), assessment of its effectiveness and safety.Materials and methods. The treatment was carried out in 56 patients with bladder stones arising on the background of BPH at the age from 42 to 89 years. According to the proposed method, 20 patients with BPH (main group) were operated on. Transurethral cystolithotripsy (control group) was performed in 36 patients. The results of the performed operations were compared with each other.Results. According to the comparison results, it is noted that the proposed method of percutaneous cystolithotripsy is performed faster and more efficiently, due to the fixation of the calculus in the basket. Due to the presence of a laparoscopic bag that completely isolates the stone from the bladder wall, there were no intraoperative complications. Drug therapy made it possible to quickly level the symptoms of cystitis. The patients were discharged 4-6 days after surgery with a cystostomy, which was removed after treatment for BPH.Conclusion. The proposed complex treatment of patients with bladder stones on the background of BPH is a safe method and has clear advantages over traditional transurethral, contact cystolithotripsy with lithoextraction.

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Urolithiasis: etiopathogenesis, diagnosis and treatment

Nazarov

Ахмедов

Рычков

et al. 2019

Androl. genit. hir.

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Urolithiasis is one of the leading places in the field of uropathology. The relevance of this topic is determined by the fact that every year the number of patients with urolithiasis is steadily increasing, both in the Russian Federation and in developed countries. According to most authors, that due to the increasing life expectancy, changes at the chemical composition of water, lifestyle and peculiarities of human nutrition, as well as global climate changes. Medico-economic and social significance of urolithiasis is that roughly 2 / 3 of patients who get sick are 30 to 60 years old. The disease is characterized by frequent relapses, high prevalence of complicated forms, in some cases leading to disability of the patient, which makes it difficult to treat. In spite of this, mortality from urolithiasis in the last few years has noticeably decreased, due to the active study of the etiopathogenesis of the disease, improvement of diagnostic methods, development and implementation of minimally invasive technologies in the treatment of urolithiasis. This literature review provides information on the prevalence of urolithiasis, the etiology and pathogenesis of stone formation in the urinary system, as well as main information of the most effective methods of diagnosis and treatment of urolithiasis at this time.

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Role of biomarkers of acute kidney damage during lithotripsy of high-density stones

Cited by 6 publications

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Historical and modern methods of treatment of patients with bladder stones with benign prostatic hyperplasia

Historical and modern methods of treatment of patients with bladder stones with benign prostatic hyperplasia

Application of improved percutaneous cystolithotripsy in patients with benign prostatic hyperplasia

Urolithiasis: etiopathogenesis, diagnosis and treatment

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