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[Urinary calculi and the single kidney].

L Hoffmann, D Serfling, R Bast

    Zeitschrift Fur Urologie Und Nephrologie
    |July 1, 1983
    PubMed
    Summary

    Urolithiasis frequently necessitates kidney removal and recurs in remaining kidneys, posing significant risks. Monorenal patients with kidney stones face reduced life expectancy and require intensive urological care.

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    Isotope effects on the dynamics of amorphous ices and aqueous phosphoric acid solutions.

    Physical chemistry chemical physics : PCCP·2022

    Area of Science:

    • Nephrology
    • Urology

    Context:

    • Urolithiasis is a common reason for nephrectomy, accounting for 25% of cases.
    • Recurrent urolithiasis affects 37% of patients with a single kidney.
    • Kidney stone disease is a primary indication for surgery on a residual kidney.

    Purpose:

    • To analyze the impact of urolithiasis on patients with monorenality.
    • To assess the rates of nephrectomy, recurrent stones, surgical lethality, and life expectancy in monorenal individuals with urolithiasis.

    Summary:

    • Nephrectomy rates for urolithiasis have remained constant over 50 years.
    • Approximately 37% of monorenal individuals develop residual kidney disease, with urolithiasis causing one in four cases.
    • Operations on a single kidney due to urolithiasis have a high lethality rate (7-15%) due to emergency conditions and complications like anuria, uremia, and urosepsis.

    Impact:

    • Urolithiasis significantly impacts the prognosis and life expectancy of monorenal patients.
    • Intensive observation and urological treatment are crucial for monorenal individuals with urolithiasis to manage complications.
    • The findings highlight the persistent challenges and risks associated with kidney stone disease in single-kidney patients.

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