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Altered bladder function in staghorn calculus disease

S A Koff, J Lapides

    The Journal of Urology
    |May 1, 1977
    PubMed
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    Identifying lower urinary tract disorders in patients with branched renal calculi is key. Controlling these issues reduces urinary infection reinfection and complications after surgery.

    Area of Science:

    • Nephrology
    • Urology

    Background:

    • Branched renal calculi are complex kidney stones.
    • Urinary tract disorders can predispose patients to infections.

    Purpose of the Study:

    • To identify lower urinary tract disorders in patients with branched renal calculi.
    • To assess the impact of controlling these disorders on infection and complication rates post-surgery.

    Main Methods:

    • Evaluated 62 patients with branched renal calculi.
    • Identified pre-existing lower urinary tract disorders.
    • Followed patients for an average of 6.3 years post-operative stone removal.

    Main Results:

    • 69% of patients had disorders predisposing to urinary infection.

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  • Control of these disorders significantly reduced reinfection rates.
  • Complication frequency was also reduced after operative stone removal.

    • Conclusions:

    • Lower urinary tract disorders are common in patients with branched renal calculi.
    • Management of these underlying disorders is crucial for improving outcomes after surgical stone removal.