HIGHER URINARY POTASSIUM IS ASSOCIATED WITH DECREASED STONE GROWTH AFTER SHOCK WAVE LITHOTRIPSY

Autor: R. John D. A. Honey, Dominique Ibanez, Michael A. S. Jewett, Nafisa Dharamsi, Andreas Pierratos, Lesley K. Carr
Rok vydání: 2000
Předmět:
Zdroj: The Journal of Urology. :1486-1489
ISSN: 0022-5347
DOI: 10.1097/00005392-200011000-00007
Popis: Purpose: We correlated serum and urinary biochemical parameters with radiological evidence of stone growth after shock wave lithotripsy.Materials and Methods: Biochemical parameters in serum and 24-hour urine collections of 359 patients were correlated with stone growth for 2 years after shock wave lithotripsy. Each patient underwent a minimum of 2 radiological studies at 3 and 12 months and plain abdominal x-ray at 24 months. The presence and size of stones were documented by a radiologist in blinded fashion. Stone growth was defined as measurable growth of a preexisting stone or new stone formation.Results: A total of 209 patients remained stone-free or had no existing stone growth, while stone size decreased in 30. Of the remaining 120 patients with stone growth 72 had new growth and 48 had growth of preexisting stones. Urinary excretion of potassium was significantly higher in those without than with stone growth (mean 24-hour urine collection plus or minus standard deviation 62 ± 27 versus 54 ± 23 mm...
Databáze: OpenAIRE