ABSTRACT
A preliminary diagnosis of the disease responsible for the stones is essential to allow appropriate medical treatment of renal stones. In this paper, the authors describe their diagnostic and treatment protocol based on computer-assisted urinary metabolic analysis. 413 subjects, divided into four groups, were prospectively evaluated to calculate their specificity, sensitivity, reproducibility and efficacy and to demonstrate the usefulness of this protocol.
Subject(s)
Kidney Calculi/metabolism , Absorption , Adolescent , Adult , Aged , Calcium/urine , Citrates/urine , Citric Acid , Clinical Protocols , Creatinine/urine , Cystinuria/diagnosis , Cystinuria/metabolism , Cystinuria/urine , Diagnosis, Computer-Assisted , Female , Follow-Up Studies , Humans , Hyperoxaluria/diagnosis , Hyperoxaluria/metabolism , Hyperoxaluria/urine , Kidney Calculi/diagnosis , Kidney Calculi/therapy , Kidney Calculi/urine , Magnesium/urine , Male , Metabolic Diseases/diagnosis , Metabolic Diseases/urine , Middle Aged , Oxalates/urine , Oxalic Acid , Prospective Studies , Reproducibility of Results , Sensitivity and Specificity , Uric Acid/urineSubject(s)
Nerve Compression Syndromes/etiology , Nerve Compression Syndromes/pathology , Osteitis Deformans/complications , Spinal Nerve Roots/pathology , Adult , Humans , Magnetic Resonance Imaging , Male , Nerve Compression Syndromes/diagnosis , Osteitis Deformans/diagnosis , Osteitis Deformans/pathology , Tomography, X-Ray ComputedABSTRACT
From the assumption that prophylaxis of oxalocalcium lithiasis is feasible with an the intake of citrate-rich food, this paper presents a prospective, medium-term research in two groups of patients with a background of this type of lithiasis; the first group was treated with diet and increased fluid intake exclusively, while the second group had to follow similar dietetic measures and take also one litre of orange juice daily. Orange juice raises citraturia and pH, decreasing the rate of lithiasis formation and crystallization risk indicators for calcium phosphate. No significant differences are obtained in the number of relapse ratio reductions for the second group as compared to controls.
Subject(s)
Beverages , Calcium Oxalate , Citrus , Urinary Calculi/prevention & control , Adolescent , Adult , Analysis of Variance , Calcium Oxalate/analysis , Female , Humans , Male , Middle Aged , Prospective Studies , Urinary Calculi/chemistry , Urinary Calculi/metabolismABSTRACT
Presentation of a series of 6 cases of eosinophilic cystitis diagnosed in our hospital and recorded in 1988-1993, with an average follow-up of 2 years from time of diagnosis. The actual trend with regard to this particular form of chronic cystitis is to abandon the idea of considering it a "benign" disease, basically due to its increasingly less uncommon association to bladder and/or prostate tumoral pathology (in the recent literature and most particular in the present series). Also, a relative increase in the frequency of occurrence of this disease is noted, because of chemoprophylaxis of surface bladder tumour with Mitomycin-C, an association which is increasingly frequent. Based on these 6 cases, a review of the most recent literature on this topic is made.
Subject(s)
Cystitis/pathology , Eosinophilia/pathology , Aged , Aged, 80 and over , Humans , Male , Middle AgedABSTRACT
Since the approval of potassium citrate for the treatment of urolithiasis, there are many patients in other countries who have benefited from this drug. This paper describes the biochemical changes and tolerance seen in fifteen patients treated for one month with granulated potassium citrate. Some significant changes are observed in serum potassium and creatinine, and in urinary pH, citrate and potassium. Tolerance was good. Our results confirm that potassium citrate is an effective, easy to use, and well tolerated drug for the prophylaxis of oxalocalcium lithiasis.
