Combined litholytic therapy of urate nephrolithiasis
Dzheranov, N.K.; Beshliev, D.A.; Bagirov, R.I.
Urologiia 6: 38; 41-44
2006
ISSN/ISBN: 1728-2985 PMID: 17315711 Document Number: 595112
The authors present the analysis of therapy of 72 patients under 70 years of age (40 males - 55.6%, 32 females - 44.4%) with urate nephrolithiasis. Recurrent nephrolithiasis occurred in 51 (70.8%) patients, metabolic disturbances were registered in 38 (52.8%) patients. Efficacy of litholytic therapy with blemoren was 58.3%. In the rest cases the concrements were removed by extracorporeal shock-wave lithotripsy (ESWL). The authors believe that in concrements more than 2 cm in size ESWL should be made in the presence of internal stent, while litholytic therapy prior to ESWL improves treatment results even if ineffectiveness of the former.