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[Renal lithiasis: the internist's viewpoint 1986].

P Jaeger

    Schweizerische Medizinische Wochenschrift
    |July 8, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Nephrolithiasis (kidney stones) management is now a collaborative effort. Internists can prevent stone recurrence by addressing underlying causes, complementing urologists

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    Area of Science:

    • Nephrology
    • Urology
    • Internal Medicine

    Context:

    • The management of nephrolithiasis (kidney stones) has evolved with advancements in both surgical and medical approaches.
    • Historically, urologists focused on stone removal, while internists concentrated on pathophysiological understanding.
    • Modern nephrolithiasis treatment integrates these perspectives for comprehensive patient care.

    Purpose:

    • To debate and delineate the complementary roles of urologists and internists in managing nephrolithiasis.
    • To highlight the internist's capability in preventing kidney stone recurrence through targeted interventions.
    • To review major risk factors for renal stone disease and their medical correction.

    Summary:

    • Identifies key risk factors for kidney stones: low urine volume, hypercalciuria, hyperoxaluria, hyperuricosuria, urine pH imbalances, and hypocitraturia.

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  • Demonstrates that selective correction of these disorders (e.g., increased fluid intake, thiazides, allopurinol, citrate) can lead to disease remission.
  • Urologists now effectively disintegrate stones non-surgically, while internists manage underlying causes to prevent relapse.

    • Impact:

    • The internist's role is crucial in altering the natural history of kidney stone disease by preventing relapses.
    • This integrated approach signifies a paradigm shift towards conservative, mechanism-based management of nephrolithiasis.
    • Improved patient outcomes through personalized, evidence-based medical interventions for kidney stone prevention.