“Golden” standard in the treatment of nephrolithiasis of both kidneys in combination with severe concomitant pathology (case report)

Abstract

The problem of urolithiasis remains one of the key in modern urology today. Urolithiasis, its recurrent nature, often-severe complications and invalidation of patients has a high medical and social significance. Recently, more and more urolithiasis occurs in oblique and aging years and is usually accompanied by a serious accompanying somatic pathology, which is characterized by significant violations. The latter, on the one hand, may be a risk factor for the development of urolithiasis, but on the other requires a careful approach to the choice of therapeutic tactics. Improvement of endoscopic equipment contributed to the active introduction of noninvasive methods of surgical treatment of nephrolithiasis in the clinical practice. The “golden” standard for the removal of large and cortical stones is, today, a transdermal nephrolithotripsy. The staff of the clinic of the Institute of Urology of the National Academy of Medical Sciences of Ukraine has a wealth of experience in the use of this method in the treatment of urolithiasis. The purpose of the work is to determine the effectiveness of percutaneous nephrolithotripsy in the treatment of nephrolithiasis in both kidneys, accompanied by severe comorbidity. The patient conducted general-clinical and biochemical tests of blood and urine, X-ray methods of examination, ultrasound examination of the abdominal cavity, MSCT. In the presented clinical observation in the patient, nephrolithiasis of both kidneys was diagnosed, accompanied by severe concomitant somatic pathology. Percutaneous nephrolithotripsy allowed two steps to remove all concrements, which once again proved the success of this method in the treatment of urolithiasis.