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[Various problems in urinary calculi]

A Hesse, H J Schneider, E Hienzsch

    Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
    |May 15, 1977
    PubMed
    Summary
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    Urinary stone (calculi) removal is often necessary, especially for struvite and carbonate apatite types in women. Kidney laterality and summer months show significant trends in stone formation and passage.

    Area of Science:

    • Urology
    • Nephrology
    • Medical Informatics

    Context:

    • Analysis of over 30,000 patient records and urinary calculi data.
    • Identification of trends in stone composition, patient demographics, and seasonal variations.
    • Utilizing computer programs for comprehensive data evaluation.

    Purpose:

    • To establish conspicuous trends in urinary calculi formation and management.
    • To investigate the necessity of operative removal for common stone types.
    • To determine statistically significant patterns in kidney laterality and seasonal stone risk.

    Summary:

    • Operative removal remains a common necessity for frequent urinary calculi, including whewellite, weddellite, uric acid, struvite, and carbonate apatite.
    • Approximately 65% of struvite and carbonate apatite calculi in women require surgical intervention.

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  • A statistically significant preference for right kidney stones in women and left kidney stones in men was observed.
  • Increased risk of urinary stone formation and a significant rise in spontaneous stone passage occur during summer months (July-October).

    • Impact:

    • Provides crucial data for understanding urinary stone epidemiology and risk factors.
    • Informs clinical decision-making regarding surgical versus conservative management of calculi.
    • Highlights the importance of considering patient gender, kidney laterality, and season in stone prevention and treatment strategies.