Experience of treating patients with urolithiasis in the urological clinic of the Aleksandrovskaya hospital

Svetlana N Kalinina,Pavel S Vydryn,Dmitriy G Lebedev,Vladimir P Ostrikov,Anton L Pavlov,Oleg O Burlaka,Maxim V Borychev,Anton V Nikolskii,Alexey E Krivenko,Evgenij G Karapuzov,Dmitriy G Korenkov

doi:10.17816/uroved9321-28

Abstract

The article presents the experience of treating patients with urolithiasis in the urological clinic of the Aleksandrovskaya hospital. Due to the improvement of technologies, the number of minimally invasive surgeries such as contact ureterolithotripsy, percutaneous nephrolithotripsy and percutaneous nephrolitholapaxy has increased significantly. Performing open surgical interventions is indicated only in complicated cases such as the presence of purulent calculous pyelonephritis. The indication for contact ureterolithotripsy is the localization of concretions in the pelvic ureter, as well as long-term (more than 4 weeks) presence of concretions in any part of the ureter. Percutaneous nephrolitolapaxy is the method of choice in the treatment of urolithiasis in case of uninfected kidney stones smaller and larger than 20 mm in diameter, especially in elderly patients. Emergency contact lithotripsy is indicated for treatment of acute serous obstructive pyelonephritis caused by concretion of any localization. When stones locate in lower calices of kidney effective method is percutaneous nephrolitholapaxy.

Highlights

В статье представлен опыт лечения пациентов с мочекаменной болезнью в урологической клинике Александровской больницы
The article presents the experience of treating patients with urolithiasis in the urological clinic of the Aleksandrovskaya hospital
The indication for contact ureterolithotripsy is the localization of concretions in the pelvic ureter, as well as long-term presence of concretions in any part of the ureter

Summary

Introduction

В статье представлен опыт лечения пациентов с мочекаменной болезнью в урологической клинике Александровской больницы. Перкутанная нефролитолапаксия является методом выбора в лечении мочекаменной болезни при неинфицированных конкрементах почек до и более 20 мм, особенно у пожилых пациентов. При камнях нижней чашечки почек эффективным методом является перкутанная нефролитолапаксия. For citation: Kalinina SN, Burlaka OO, Korenkov DG, et al Experience of treating patients with urolithiasis in the urological clinic of the Aleksandrovskaya hospital.

Results

Conclusion