Modern Ideas About the Pathogenesis, Diagnosis and Treatment of Ureterolithiasis on the Background of Diabetes Mellitus (Analytical Literature Review)

Abstract

When analyzing available literature sources, we encountered isolated scientific papers whose authors provide their own data for comparing the methods of minimally invasive surgical treatment of ureterolithiasis and its postoperative complications (POC) in patients with diabetes mellitus (DM). Unfortunately, we have not encountered serious studies on the comparison of the effectiveness of various techniques of minimally invasive intervention in cases of ureterolithiasis, which proceeds against the background of diabetes. We also did not find a justification for the relationship and comparison of data from various systems of homeostasis, which are considered to be leading in determining the state of the kidneys in diabetes. Thus, the determination of the correlation between the data of ultrasound, X-ray radiology, radiation, enzyme and clinical and biochemical parameters, depending on the degree of violation of carbohydrate metabolism.Analysis of the literature suggests that transureteral contact lithotripsy (TUCL) and extracorporeal shock wave lithotripsy (ECHL) are more common and effective methods of ureterolithotripsy, although the level of POC in each patient is different. According to modern scientists, the use of ECHL in ureterolithiasis is limited by narrow indications and a high risk of complications in diabetes.So, the provided research facts, respectively, of established diagnostic and therapeutic measures in patients with ureterolithiasis on the background of diabetes, allow us to conclude that there is no complete understanding of this problem. Thus, for the indisputable value and dedication of medical science in this direction, the question of determining the capabilities of various methods of minimally invasive technology and the optimal approach for each individual patient remains relevant. This requires further improvement of diagnostic measures and methods of treatment of this cohort of patients.