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Related Concept Videos

Urinary Tract Calculi IV: Nutrition Therapy and Prevention01:27

Urinary Tract Calculi IV: Nutrition Therapy and Prevention

Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
Antihypertensive Drugs: Thiazide-Class Diuretics01:15

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Thiazide diuretics are sulfonamide derivatives featuring a benzothiadiazine ring system in their molecular structure. Based on this structure, thiazide diuretics can be categorized into two groups: thiazide-type and thiazide-like diuretics. Thiazide-type diuretics, including hydrochlorothiazide and chlorothiazide, consist of a benzothiadiazine backbone with an attached sulfonamide group. Thiazide-like diuretics, such as chlorthalidone and indapamide, lack the thiazide ring but demonstrate...
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Compared with pure water, the solubility of an ionic compound is less in aqueous solutions containing a common ion (one also produced by dissolution of the ionic compound). This is an example of a phenomenon known as the common ion effect, which is a consequence of the law of mass action that may be explained using Le Chȃtelier’s principle. Consider the dissolution of silver iodide:
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Video

Updated: Jun 24, 2026

Estimation of Urinary Nanocrystals in Humans using Calcium Fluorophore Labeling and Nanoparticle Tracking Analysis
07:45

Estimation of Urinary Nanocrystals in Humans using Calcium Fluorophore Labeling and Nanoparticle Tracking Analysis

Published on: February 9, 2021

Thiosulfate reduces calcium phosphate nephrolithiasis.

John R Asplin1, Susan E Donahue, Christina Lindeman

  • 1Litholink Corp., 2250 W. Campbell Park Drive, Chicago, IL 60612, USA. jasplin@litholink.com

Journal of the American Society of Nephrology : JASN
|April 17, 2009
PubMed
Summary
This summary is machine-generated.

Sodium thiosulfate significantly reduced calcium phosphate kidney stone formation in a rat model. Further controlled human trials are necessary to confirm its efficacy and safety for preventing recurrent kidney stones.

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Last Updated: Jun 24, 2026

Estimation of Urinary Nanocrystals in Humans using Calcium Fluorophore Labeling and Nanoparticle Tracking Analysis
07:45

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Published on: February 9, 2021

A Semi-Automated and Reproducible Biological-Based Method to Quantify Calcium Deposition In Vitro
11:30

A Semi-Automated and Reproducible Biological-Based Method to Quantify Calcium Deposition In Vitro

Published on: June 2, 2022

Area of Science:

  • Nephrology
  • Urology
  • Biochemistry

Background:

  • Recurrent kidney stones pose a significant health burden.
  • Sodium thiosulfate has shown potential in reducing calcium kidney stone formation in uncontrolled human trials.
  • Controlled studies in animal models are needed to validate these findings.

Purpose of the Study:

  • To investigate the effect of sodium thiosulfate on calcium phosphate kidney stone formation.
  • To analyze urine chemistry and supersaturation in a genetic hypercalciuric rat model.

Main Methods:

  • Genetic hypercalciuric rats were fed a standard diet with or without sodium thiosulfate for 18 weeks.
  • Urine chemistries, supersaturation, and metastability were measured.
  • In vitro experiments assessed thiosulfate's effect on ionized calcium.

Main Results:

  • Sodium thiosulfate treatment significantly reduced stone formation (3/12 rats) compared to controls (11/12 rats).
  • While some urine parameters changed, overall calcium phosphate supersaturation and metastability did not significantly differ between groups.
  • Thiosulfate minimally affected ionized calcium in vitro, suggesting a non-chelating mechanism.

Conclusions:

  • Sodium thiosulfate effectively reduces calcium phosphate kidney stone formation in the genetic hypercalciuric rat model.
  • The precise mechanism of action requires further investigation.
  • Controlled human trials are warranted to evaluate the efficacy and safety of sodium thiosulfate for preventing recurrent kidney stones.