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Higher Risk of Repeat Stone Surgery in Stone Formers With Concomitant Bowel Disease: Single-Center Long-Term Analysis
Margaret A Knoedler1, Shuang Li1, Shuhei Hirano1
1Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Urology
|April 22, 2024
Summary
Patients with bowel disease, particularly those with prior bowel resection or bypass, face a higher risk of repeat stone surgery. This risk was not elevated for inflammatory bowel disease or other bowel conditions.
Area of Science:
- Urology
- Gastroenterology
- Surgical Outcomes
Background:
- Bowel disease is a known risk factor for stone formation.
- The impact of different types of bowel disease on the need for repeat stone surgery is not well understood.
Purpose of the Study:
- To compare the risk of repeat stone surgery in patients with and without bowel disease.
- To investigate if different types of bowel disease influence the need for repeat stone surgery.
Main Methods:
- Retrospective analysis of surgical stone patients.
- Categorization of bowel disease into inflammatory bowel disease (IBD), bypass, resection, and other.
- Comparison of demographics, stone disease, and recurrent stone events using survival analyses.
Main Results:
- 24% of surgical stone patients had bowel disease.
- Patients with bowel disease were older and more likely female.
- Bowel resection and bypass were significantly associated with increased repeat stone surgery (P < .001 and P = .002).
- IBD and other bowel diseases did not show increased risk.
Conclusions:
- Patients with bowel disease, specifically prior bowel resection and bypass, have a higher risk of repeat stone surgery.
- The type of bowel disease is a critical factor in determining the risk of recurrent stone surgery.
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