Abstract

Formation of urinary tract concrements is a common disease and steps should be taken in order to elucidate the underlying mechanisms and to give the patients appropriate advice and medical treatment. This present article summarizes the principles for recurrence preventive measures in patients with uric acid, infection, cystine and calcium stone disease. Categories of stone formers are identified with the aim of providing a basis for an individualised treatment with a reasonable patient's compliance. The recommendations are in line with those given by the EAU guideline group for urolithiasis.

Highlights

  • Formation of stones in the urinary tract is a common clinical problem

  • Thereby we get useful information about whether the patient has formed a stone composed of calcium salts such as calcium oxalate and/or calcium phosphate or noncalcium salts such as uric acid/urate, infection, or cystine material

  • In order to reduce the concentration of urinary cystine, the fluid intake should be kept at a level that results in 24-h urine volumes exceeding 3 l

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Summary

Recurrence Prevention in Patients with Urinary Tract Stone Disease

Formation of urinary tract concrements is a common disease and steps should be taken in order to elucidate the underlying mechanisms and to give the patients appropriate advice and medical treatment. This present article summarizes the principles for recurrence preventive measures in patients with uric acid, infection, cystine and calcium stone disease. Categories of stone formers are identified with the aim of providing a basis for an individualised treatment with a reasonable patients compliance. The recommendations are in line with those given by the EAU guideline group for urolithiasis

INTRODUCTION
CATEGORIES OF STONE FORMERS
Subgroup UR
Subgroup INF
Subgroup CY
Subgroup CA
General Drinking and Dietary Advice
Specific Drinking and Dietary Advice
Pharmacological Treatment
Findings
CONCLUSION

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