Urolithiasis, nephrolithiasis

Urolithiasis (ICD 10-N20-N23) is a common urological disease of a predominantly chronic course that requires special attention and mandatory treatment. It is accompanied by the formation of stones localized in various parts of the urinary system (kidneys, urinary tract, bladder). Given that the signs of kidney stones can be almost invisible for a long time, it is important to identify the disease in time and start appropriate therapy. If you have minimal health complaints, we recommend contacting K + 31. The specialists of the clinic will diagnose, establish the causes of the ailment and perform the necessary treatment.

Causes of urolithiasis

To date, the exact causes that provoke kidney stones have not yet been established. The formation of stones contributes to many factors:

  • congenital anomalies of the urinary system;
  • living or prolonged stay in an unfavorable climatic zone (deficiency of sunlight and vitamin D, extreme heat leading to chronic dehydration);
  • specific nutrition (excess in the diet of acidic and very spicy foods);
  • sedentary lifestyle;
  • unfavorable working conditions (harmful production, the need to regularly lift weights);
  • the use of water of high hardness, containing a large amount of calcium salts;
  • increased work of the parathyroid glands;
  • chronic gastroenterological diseases;
  • severe fractures or other musculoskeletal injuries;
  • enzyme deficiency;
  • liver pathology;
  • kidney disease (impaired normal urine outflow, prolapse or inflammation of the organ);
  • endocrine disorders;
  • hereditary predisposition.

Mostly, experts indicate that the appearance of stones is associated with abnormal functioning of the urinary tract. Calculi are a solid mass formed as a result of the crystallization of salts that are part of the urine.

Formations can have a different shape, size and chemical composition. But even a small kidney stone provokes symptoms that require immediate medical attention. Its timely provision will help prevent the development of complications.

Urolithiasis symptoms

Urolithiasis is always accompanied by intense pain, which is mainly concentrated in the lumbar region. Depending on the location and size of the stone, the presence of obstruction and individual characteristics, the pain syndrome can be constant or intermittent, acute or dull.

If a person has large inactive calculi, the discomfort is permanent. Pain is usually related to the patient's mobility. It can appear, intensify or subside with the active movement of the body, in the process of driving, physical activity. Most patients complain that they cannot lie down because of the pain. While walking, the discomfort in the lower back subsides a little.

Other signs of kidney stones in women and men:

  • malaise and weakness;
  • nausea accompanied by vomiting;
  • traces of blood in the urine;
  • bloating and difficulty passing flatus;
  • increase in body temperature;
  • turbidity of urine and the appearance in it of specific flakes, sediment.

The symptoms of kidney stones in women and men can suddenly worsen. This indicates the development of a specific condition called renal colic. It is accompanied by severe pain in the lumbar region, which radiates to the groin. Unpleasant sensations in this case are provoked by obstruction of the urinary tract. An attack is associated with spontaneous movement of a stone from the kidney to the bladder.

Kidney stones: symptoms in men

The prevalence of the disease among the strong half of the population is several times higher than among women. In men, the disease manifests itself typically and is characterized by intense pain. There is also a marked burning sensation in the urethra, which is further aggravated by an attempt to urinate. Also, pain can be given to the penis, scrotum, groin.

Kidney stones: symptoms in women

In women, pathology is less common. The clinical picture is typical. Many mistakenly perceive renal colic for pain that is present during menstruation. This complicates diagnosis and subsequent treatment. In the fairer sex, a calculus in the ureter provokes a strong desire to urinate, which does not disappear even after going to the toilet.

Diagnosis

In order for the treatment of urolithiasis to be successful, when the first signs of pathology appear, you need to seek help from a urologist. The doctor will examine the patient, collect an anamnesis. Further, he will send for the delivery of the necessary analyzes and research:

  • Ultrasound of the kidneys, bladder and, if necessary, the abdominal organs (to exclude other diseases);
  • blood and urine test;
  • renal tests;
  • radiography;
  • bacteriological culture of urine with detection of sensitivity to antibiotics;
  • excretory urography;
  • Computed or magnetic resonance imaging.

The diagnostic methods that should be used in a particular clinical case are determined by the doctor.

Urolithiasis: treatment

To select the method of therapy for KSD, all the information obtained as a result of the diagnosis is taken into account. This applies to the size, type and location of the calculus, the patient's condition and other data.

With mild symptoms, when the diameter of the stones does not exceed 5 mm, they resort to conservative therapy. In this case, it is safer, since sand stones can leave the urinary system on their own. To speed up the process, the patient is prescribed antispasmodics, diuretics, herbal remedies.

Large kidney stones in women, the treatment of which is meaningless with medication, are removed by crushing. A minimally invasive procedure called lithotripsy is performed. It implies minimal tissue trauma. During the operation, under the influence of a shock wave, the stones are destroyed to the state of sand. Subsequently, the resulting fragments are brought out naturally, along with urine.

With lithotripsy, various types of exposure are used:

  • Ultrasonic. Used for low stone density.
  • Pneumatic. Suitable for all types of stones.
  • Electro-hydraulic. A special device creates an electric arc that has destructive power.
  • Percutaneous. A puncture is carried out through the skin and there is a direct effect on the area where the stone is placed.
  • Laser. Crushing is carried out using a beam of laser energy.

The crushing session lasts about 40 minutes. To remove large stones, several procedures are necessary.

Prevention

MKD is a chronic disease, so even after its successful treatment, the patient must follow certain preventive measures. They consist in the sufficient use of fluid (plain water), the rejection of alcohol, and the reduction in the amount of salt in the diet. It is advisable to prevent hypothermia of the body and move enough.

Once a year, as a preventive measure, you need to take a general urine test. You should also follow the diet that the doctor will prescribe, taking into account the type of stones detected.

Advantages of treating urolithiasis at the medical center "K+31"

The clinic employs urologists with extensive experience who will help get rid of kidney stones without surgery. Our specialists will select the best treatment methods for each patient - with the help of medicines, lithotripsy, etc. If crushing is necessary, the procedure will be carried out using modern equipment, which guarantees safety and excellent results.

Make an appointment with a doctor directly through the site or call the specified phone numbers.

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Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist