It is essential to know whether the stone was discovered Presence of previous bladder infections, pyelonephritis, hematuria, or pain areĬlinically important. Symptoms, evolution of discovery, and current condition of the patient. Thorough history of present illness is the first step to determine the onset of Imperative when evaluating patients presenting with kidney stone disease. Obtaining a thorough and complete history and performing a physical exam is Urologist navigate this complex condition.
Treatment, and follow up of patients with staghorn calculi to help the practicing We aim to describe the contemporary best practices in the initial evaluation, Our knowledge of metabolicĭisturbances, stone compositions, and overall natural history of the disease has Our developing understanding of this disease process. Traditional thinking about the management of this condition and stems partly from Some select candidates, especially those at high risk for surgery. We have evolved also by considering conservative management in Though there is undeniable progress, we have not been able 10 These advancements assist providers in achieving more effective stone removalĪnd better patient care. Intra- and extracorporeal lithotripsy technology. New technology continues to drive us toĪn operating room table with high definition, superior endoscopes and advanced Led to safer and more effective treatments. Science, and the field of endourology have continued to evolve and advancements have Rates up to 50%, including sepsis, bleeding, cardiothoracic events, and even
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While surgical treatment of these stones is the standard of care in many patients,Įarly series on treatments such as percutaneous nephrolithotomy quote complication However, achieving a stone-free state can beĭifficult, requiring staged or combined approaches. 7 The treatment goal for most patients is complete stone removal to prevent 6 These stones are still often associated with infection and urea-splitting organisms. Historically thought to be primarily struvite, but modern investigations reveal theyĬan be one of many compositions. Urosepsis, renal deterioration, and death. Given that untreated stones can lead to recurrent urinary tract infections, Treatment is often complicated but necessary Staghorn calculi are complex renal stones that occupy the majority of the renalĬollecting system and are of particular importance to urologists as they often carry
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