Urolithiasis disease

Urolithiasis is a disease that is characterized by the formation of calculi in the organs of the urinary system. Urolithiasis can lead to the formation of fine-grained or powdery sand, as well as large stones in the kidneys, bladder and other segments of the urinary system. Most often, the disease affects patients aged 22-50 years. According to statistics, it is urolithiasis that causes about 30% of hospitalizations in the urology department. In the absence of proper treatment, urolithiasis causes chronic pyelitis and pyelonephritis.

Causes of urolithiasis

The formation of sand or stones in the organs of the urinary system is directly related to metabolic disorders in the body. A hereditary predisposition to the disease also has a certain effect.

Kidney stones or bladder can form against the background of malnutrition or drinking water with a specific chemical composition, in which a large number of salts predominate. The development of urolithiasis is facilitated by a sedentary lifestyle, sedentary work, and a lack of vitamins of groups A and B. Often, stones form as a side pathology in diseases of the gastrointestinal tract.

Separately, it is necessary to highlight the "secondary" stones. They are formed in case of violation of the outflow of urine. The salt crystals contained in it precipitate and condense due to the high concentration.

Types of stones in composition:

  1. urate;
  2. oxalates;
  3. phosphates;
  4. struvites.

Symptoms of Urolithiasis

A classic symptom of urolithiasis is renal colic. It occurs in case of violation of the outflow of urine. Pain can depend on the location of the stone, its variety and size. But most often the pain gives to the lower back, although it can also be felt in the groin or in the genital area. Before the onset of pain, urolithiasis usually proceeds without any specific symptoms.

In addition to severe pain, the patient has signs of intoxication:

  • nausea and vomiting;
  • frequent urination;
  • an admixture of blood in the urine;
  • cramping while urinating.

If the stone is smaller than the ureter in diameter, then it can leave the body on its own. But in most cases, urgent specialist assistance is needed. After collecting an anamnesis, the urologist directs the patient to undergo laboratory tests and undergo hardware diagnostics:

  • blood and urine tests;
  • Ultrasound
  • urography (x-ray).

An increase in body temperature may indicate that against the background of a violation of the outflow of urine, the patient develops inflammation.

Methods for the treatment of urolithiasis

Emergency care for the patient is to relieve an attack of renal colic. Drug therapy is used, including painkillers and vasodilators. Then the stone is removed, inflammation is treated and preventive measures are taken to reduce the risk of re-formation of the stone.

Conservative treatment of renal colic involves the use of medications (antispasmodics, diuretics), as well as compliance with the drinking regime and a special diet. In the presence of inflammation, antibiotic therapy is performed. Such a treatment will be effective if the size of the formed stones does not exceed 3-5 cm.

Surgical treatment is aimed at removing stones larger than 6 mm in diameter. The following methods are used:

  • Remote shock wave lithotripsy - the impact on stones with a sound shock wave in order to break them into smaller ones, which can already pass through the ureter.
  • Contact lithotripsy - the use of an ultrasound instrument, the optimal solution for high-density stones.
  • Percutaneous nephrolithotripsy - a puncture in the lumbar region through which a surgical instrument is introduced that destroys the stone for its subsequent extraction - is used in the presence of large stones, with a diameter of more than 1-2 cm.

Important! In the presence of purulent inflammation, crushing and removal of the stone by the methods described above is impossible. Full-scale surgery is required.

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Specialists

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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