E145 Comparative evaluation of mini-perc versus conventional percutaneous nephrolithotomy in pediatrie renal calculi

Abstract

decrease of urine volume during hot seasons. Increase of DS contributes to decrease of urinary stone risk factors (USRF). But the increase in fluid consumption alone to achieve the increase of DS is not sufficient. That’s why there is a necessity of its additional stimulation. The major available means in most cases are diuretic medicinal plants (MPs). Material and Methods: It has been investigated the ability of the influence of MPs’ infusions to DS and activity of lithogenesis, what has been estimated on the base of crystalluria (CU) degree. During long period in our clinic it has been investigated such MPs as Herniaria glabra (HG), Glycyrrhiza glabra (GG), Hypericum perforatum (HP), Mentha piperita (MPP), Alhagi pseudalhagi (AP), Aerva lanata (AL), Maydis stigmatum (MS), Achillea millefolium (AM), Zizyphus Jujuba (ZJ), Bidens tripartite (BT), Origanum L. (OL), Helichrysum archarium Samarkand (HAS) and Aqua disstillate (AD) as control. Results: It has been revealed that the infusions of MPs have different degree of diuretic effect (DE). Also it has been noticed, that the most significant changes of USRF readings were observed after 30 days of phytotherapy and it was not depend from the degree of DS’ increase. In particularly, MPs with strong DE: AP increased DS for 68.5% and decreased the level of CU for 13.4%, AL for 52.4% and 3.7%, HG for 51.2% and 9.45%, suitably. The infusions with moderate DE: MS increased DS for 42.4% and decreased CU for 7.68%, GG for 40.9% and 5.4%, AM for 34.3% and 6.0%, HP for 31.3% and 1.0%, suitably. And MPs with mild DE: ZJ increased DS for 23.1% and decreased CU for 6.83%, MPP for 19.2% and 0.53%, HAS for 12.9% and 4.65%, BT for 12.4% and 3.15%, OL for 6.6% and 3.13%, and control – AD for 15.4% and 4%, suitably. The results of investigations showed that the infusions of MPs besides DE have the ability to change of crystal formation activity (CFA) in most cases. The different degree of DE depends on the chemical composition of the MPs, i.e. from the contents of biological active substances and their combinations. Perhaps, the observed changes are the result of the effect of chemical contents’ complex of MPs’. Conclusions: So the ability of MPs to change the level of DS and CFA indicates to the necessity of additional investigation of MPs’ effect to other USRF for the effective usage in metaphylaxys of idiopathic calcium UL.