allopurinol and Ureteral-Calculi

Topics: Allopurinol; Calcium, Dietary; Female; Humans; Kidney Calculi; Male; Oxalates; Recurrence; Ureteral Calculi; Urinary Calculi

Patients with recurrent kidney stone disease or stone formers at increased risk of recurrence deserve a thorough metabolic workup. This should be based on a careful history and include urinalysis, serum chemistry studies, and analysis of 24-hour urine collections. Measures to prevent recurrent stone formation are aimed at correcting the metabolic imbalances detected in the workup. A variety of drugs are available that target one or more of the metabolic abnormalities that may be involved. For "surgically active" renal and ureteral stone disease, newer techniques make surgery unnecessary in most cases. Extracorporeal shock wave lithotripsy is becoming the preferred technique for disintegration of upper urinary tract stones. Percutaneous ultrasonic lithotripsy and electrohydraulic disintegration also are widely used. For lower urinary tract stones, the ureteroscope permits either extraction under visualization or ultrasonic disintegration.

Topics: Allopurinol; Benzothiadiazines; Calcium; Cellulose; Citrates; Citric Acid; Cystoscopy; Diuretics; Fluid Therapy; Fluoroscopy; Humans; Kidney Calculi; Lithotripsy; Medical History Taking; Minerals; Oxalates; Phosphates; Pyridoxine; Sodium Chloride Symporter Inhibitors; Ureteral Calculi; Uric Acid; Urine

Topics: Allopurinol; Aluminum Hydroxide; Follow-Up Studies; Humans; Kidney Calculi; Methods; Ureteral Calculi; Urinary Calculi

Topics: Child; Diagnosis, Differential; Female; Humans; Hydronephrosis; Male; Pedigree; Purine-Pyrimidine Metabolism, Inborn Errors; Ureteral Calculi; Ureterostomy; Urography; Xanthine; Xanthine Oxidase

Topics: Acute Kidney Injury; Adult; Aged; Allopurinol; Child; Female; Humans; Kidney Calculi; Male; Middle Aged; Ureteral Calculi; Urinary Calculi

An obstructing uric acid calculus was successfully managed by dissolution in situ. The methods used are described in detail. Perhaps not applicable in all cases, the ease of the procedure makes it worth considering especially in patients at high risk for open operative intervention.

Topics: Allopurinol; Bicarbonates; Female; Humans; Hydrogen-Ion Concentration; Infusions, Parenteral; Middle Aged; Radiography; Therapeutic Irrigation; Ureteral Calculi; Ureteral Obstruction; Uric Acid; Urinary Catheterization

Topics: Acetates; Acids; Alkalies; Allopurinol; Citrates; Humans; Kidney Calculi; Penicillamine; Ureteral Calculi