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[The treatment of coralliform nephrolithiasis]
Urologiia I Nefrologiia
|May 1, 1990
Summary
Dendritic nephrolithiasis, often stemming from urinary tract infections, involves unstable cell membranes and reduced resistance. Treatment focuses on nonoperative management for growing calculi, followed by preoperative preparation and surgery for persistent cases.
Area of Science:
- Nephrology
- Urology
- Pathology
Background:
- Dendritic nephrolithiasis affects 184 patients, with over half developing from urinary tract infections.
- The condition is linked to initial cellular membrane instability and decreased nonspecific resistance.
Observation:
- Friable, growing calculi are associated with severe inflammation, necessitating continuous nonoperative treatment.
- Cessation of calculus growth and inflammation signs indicate readiness for preoperative management.
Findings:
- Infection of urinary tracts can unfavorably complicate cellular membrane instability, leading to calcium phosphate calculus formation.
- Preoperative management includes broad-spectrum antibiotics, nonspecific resistance enhancers, and vitamin complexes for 3-4 weeks.
Implications:
- Subcortical pyelolithotomy with partial nephrotomy is the preferred surgical method for "dry kidney" cases.
- Average postoperative recovery time is 22.3 days, highlighting the need for comprehensive patient care.