[Metaphylaxis in the first occurrence of urolithiasis].

Background: Urolithiasis is a socially important disease with a high tendency to recurrences. By specific medicamentous metaphylaxis it is possible to achieve an as high as tenfold reduction of recurrences, however, regular check-ups focussed on possible side-effects are required. The objective of the project was to assess prospectively the effectiveness of non-medicamentous metaphylaxis in patients with the first kidney stone.

A prospective study of nonmedical prophylaxis after a first kidney stone.

Objective: To assess, in a multicentre prospective randomized study, the effectiveness of specific nonmedical prophylaxis and nonspecific dietary prophylaxis in patients treated after experiencing their first idiopathic calcium-containing kidney stone.

Patients And Methods: From 1991 to 1994, 242 patients with idiopathic calcium urinary stones from three urological centres were randomly assigned into two groups. In group 1 (intervention, 113 patients), a specific dietary regimen was recommended and thereafter corrected according to a comprehensive metabolic evaluation.