27,353 results match your criteria: "Nephrolithiasis"

Article Synopsis
  • Retrograde intrarenal surgery (RIRS) is increasingly used to treat renal stone disease in children, but stone-free rates vary, and there's limited data on how long it takes to achieve this status.
  • A study evaluated 105 children who underwent RIRS, revealing that 42.2% achieved stone-free status after one procedure, while 75.5% reached this status within an average of 12.25 months, with variations based on stone types.
  • The findings emphasize the importance of long-term follow-up for pediatric patients after RIRS, as achieving a stone-free status can take over a year.
View Article and Find Full Text PDF

Introduction: Percutaneous nephrolithotomy (PCNL) is widely performed as the preferred treatment for kidney stones larger than 20 mm in pediatric patients, with current research focusing on comparing outcomes between prone and supine positions to determine optimal procedural positioning. Therefore, the aim of this study is to compare the efficacy of prone versus supine positioning in pediatric PCNL, providing clarity on this critical aspect of the procedure to guide clinical decision-making.

Methods: We conducted a systematic review in PubMed, Embase, Scopus, Cochrane, Web of Science and Google Scholar.

View Article and Find Full Text PDF
Article Synopsis
  • * An 11-year-old boy exhibited severe symptoms including flank pain and foamy urine, with genetic testing revealing a novel pathogenic variant associated with the disease.
  • * The case highlights the importance of genetic testing for early diagnosis in patients with renal issues, especially when there is a family history of kidney disease.
View Article and Find Full Text PDF
Article Synopsis
  • - A 27-year-old female was diagnosed with nonclassical congenital adrenal hyperplasia (NCCAH) after experiencing symptoms like hirsutism, acne, and amenorrhea, which made diagnosis difficult.
  • - The case highlights the need to consider NCCAH in patients showing signs of hyperandrogenism, pointing to the complexity of his condition.
  • - Treatment with oral dexamethasone and contraceptive pills led to gradual improvement in the patient's symptoms, stressing the importance of proper clinical evaluation.
View Article and Find Full Text PDF

Purpose: Autosomal Dominant Hypocalcemia type 1 (ADH1), caused by gain-of-function variants in the calcium-sensing receptor (CASR), is characterized by a variable degree of hypocalcemia and hypercalciuria with inappropriately low PTH. The clinical spectrum is broad, ranging from being asymptomatic to presenting with severe clinical features of hypocalcemia and end-organ damage such as nephrolithiasis and intracerebral calcifications. Although the underlying pathophysiology is different, ADH1 patients are often managed as patients with 'classical' primary hypoparathyroidism, possibly leading to (exacerbation of) hypercalciuria.

View Article and Find Full Text PDF

Background: The cardiometabolic index (CMI), encompassing obesity and lipid metrics, is potentially linked to kidney stone prevalence in diabetic patients. However, studies on this association are sparse. This research evaluates CMI's impact on kidney stone occurrence in this group.

View Article and Find Full Text PDF
Article Synopsis
  • Kidney stone disease is on the rise globally across various demographics, likely due to changes in diet.
  • Early detection is essential to prevent complications, and artificial intelligence (AI) is playing a significant role in detecting kidney stones and managing their treatment.
  • AI techniques enhance the accuracy and efficiency of diagnosing kidney stones from CT images, leading to better treatment planning and improved patient outcomes.
View Article and Find Full Text PDF

The treatment of upper urinary tract stones is one of the main urological activities. Endoscopic surgical techniques, namely semirigid or flexible ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL), represent a major therapeutic modality, alternatively to chemolysis, extracorporeal shock wave lithotripsy and open, laparoscopic or robotic-assisted surgery. In this article, the specificities of these endoscopic techniques, their clinical performances, as well as their development following recent technological advances are discussed.

View Article and Find Full Text PDF

Background: Protein-losing enteropathy (PLE) is a rare condition featured by severe loss of proteins through the gastrointestinal tract. Rare PLE cases complicated with congenital kidney stones have been reported. This case study aimed to illustrate our experiences on the diagnosis and treatment of PLE and congenital kidney stones in a neonate.

View Article and Find Full Text PDF
Article Synopsis
  • Percutaneous nephrolithotomy (PNL) is recommended for kidney stones larger than 2 cm, but existing success measures focus only on whether stones are fully removed, ignoring complications.
  • A new prognostic stratification system was developed to predict treatment failures in PNL by assessing various risk factors from a study of 595 cases, revealing that 73% achieved stone-free status while 12% had major complications.
  • Key risk factors for complications and residual stones included positive urine culture, complex stone composition, severe comorbidity as indicated by the Charlson Comorbidity Index, and prolonged operating time, providing a useful tool for patient selection in PNL procedures.
View Article and Find Full Text PDF
Article Synopsis
  • Kidney stone disease (KSD) is a growing global health issue, with around 30% of children and 1-5% of adults potentially having monogenic variants, yet genetic testing remains underutilized due to a lack of awareness and perceived benefits.
  • A study of 1675 patients showed that genetic testing yielded a positive result in about 20% overall, with a higher likelihood (26%) in pediatric patients compared to adults (8%), indicating the importance of age in diagnosis.
  • The most common genetic condition found was cystinuria, and the overall diagnostic yield decreased notably when excluding cases identifiable through other tests, highlighting the need for more awareness and application of genetic testing in KSD.
View Article and Find Full Text PDF

Increasing evidence suggested nephrolithiasis has a close linkage with carotid atherosclerosis (CAS), with Randall's plaque (RP) being a precursor to kidney stones. Our study aimed to examine the crosstalk genes and potential molecular mechanisms between RP and CAS. We obtained microarray data for RP and CAS from the Gene Expression Omnibus (GEO) and used weighted gene co-expression network analysis (WGCNA) and differential gene expression (DEG) analysis to identify shared genes.

View Article and Find Full Text PDF

The Maillard reaction is a non-enzymatic reaction between an amino acid and carbohydrate. We hypothesized that continuous washing of cystine stones with glucose could theoretically prevent growth of an existing cystine stone or even reduce its size leading to a decrease in stone events. Sodium/Glucose Cotransporter 2 (SGLT2) inhibitors, well known for inducing glucosuria, were used to test this hypothesis in an initial series of patients.

View Article and Find Full Text PDF
Article Synopsis
  • - This clinical study compares the effectiveness and safety of two lasers, the holmium: yttrium-aluminum-garnet (HO:YAG) and the superpulse thulium fiber laser (SP TFL), in treating kidney stones via ureterorenoscopic lithotripsy.
  • - Patients will be randomly assigned to receive treatment with either laser, with outcomes measured for stone elimination and various surgical performance indicators 30 days post-operation.
  • - The study is registered under ChiCTR2300076893 and aims to provide insights on whether the newer SP TFL can serve as a better alternative to the established HO:YAG laser.
View Article and Find Full Text PDF

Discrete element method-based simulation system for predicting natural stone evacuation pathways in patients with urolithiasis.

Comput Biol Med

January 2025

Graduate School of Mechanical Engineering, Tokai University, 259-1292, Hiratsuka, Kanagawa, Japan; Micro/Nano Technology Center, Tokai University, Kanagawa, 259-1292, Hiratsuka, Japan. Electronic address:

Urolithiasis is a globally prevalent disease with high incidence and recurrence rates and is often accompanied by severe pain. Its ideal treatment is spontaneous stone passage, avoiding the invasiveness associated with surgery. However, the mechanisms underlying spontaneous stone passage remain unclear.

View Article and Find Full Text PDF

Importance: Several public recommendations exist regarding the amount of daily water intake, yet the supporting evidence is not clear, and benefits of increasing water consumption are not well-established.

Objective: To summarize evidence from randomized clinical trials (RCTs) pertaining to the health-related outcomes associated with increased or decreased daily water consumption.

Evidence Review: A systematic search of PubMed, Web of Science, and Embase was performed up to April 6, 2023.

View Article and Find Full Text PDF

Purpose: To systematically review the use of suction/vacuum-assisted retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PCNL) in children/adolescents with kidney stones.

Methods: The PICOS model (Patient Intervention Comparison Outcome Study type) was used to frame and answer the clinical question; P: children and adolescent men with kidney stones; I: use of suction during PCNL or RIRS; C: no suction devices or none; O: complications and stone-free rate (SFR); S: prospective and retrospective studies; case reports. The literature search was performed on 14th May 2024 using Embase, PubMed, and Scopus.

View Article and Find Full Text PDF

Kidney stone disease (KSD) is facing rising global prevalence and recurrence rates. Mendelian randomization aids in drug repurposing and the discovery of therapeutic targets. This study utilized Mendelian randomization (MR) to identify protein targets for KSD treatment and assess potential adverse drug reactions.

View Article and Find Full Text PDF

Background: Obesity is an increasing health concern, affecting 39% of the population. In Qatar, in recent years, the obese population contributed 35.9% of men and 46.

View Article and Find Full Text PDF

Background: Dent's disease (DD) is a rare X-linked recessive tubulopathy characterized by low molecular weight proteinuria, hypercalciuria, nephrocalcinosis/nephrolithiasis and chronic kidney disease. With this manuscript, we reported three patients diagnosed as DD in our department in the last 10 years and thereby described the genetics, pathophysiology, clinical presentation, course and management of the disease.

Cases: The first case was a male newborn who was consulted to our department after medullary nephrocalcinosis was detected.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates the safety and effectiveness of intelligent intrarenal pressure control versus traditional methods in treating renal stones under 2 cm, involving 60 patients in a randomized, controlled trial from November 2023 to July 2024.
  • - Results showed that the intelligent pressure control group took longer for procedures (average 52.5 minutes) compared to the traditional group (46 minutes), with a lower stone-free rate on the first postoperative day (73.33% vs. 93.33%).
  • - Despite similar outcomes in stone clearance after two months and low rates of complications for both methods, the traditional approach resulted in lower overall hospitalization costs compared to the intelligent pressure control method.
View Article and Find Full Text PDF

Objective: To investigate the association between the triglyceride-glucose (TyG) index, a surrogate marker of insulin resistance and the risk of kidney stones (KSs) in a Chinese population.

Design: Case-control study.

Setting: Three Physical Examination Centers in Shanghai, China, between January 2020 and December 2022.

View Article and Find Full Text PDF

Nephrolithiasis.

Adv Kidney Dis Health

November 2024

Department of Medicine, Section of Nephrology, University of Chicago Pritzker School of Medicine, Chicago, IL. Electronic address:

Kidney stone prevalence is rapidly increasing worldwide, and decreasing stone growth and recurrence is critical to reducing morbidity. Preventative approaches vary with kidney stone type, so knowledge of stone composition and a thorough history and metabolic evaluation are necessary to individualize therapy. The cases presented herein highlight treatment strategies for the most common stone types seen in clinical practice with practical pearls for the nephrologist.

View Article and Find Full Text PDF

Oncostatin M (OSM) has pleiotropic effects on various inflammatory diseases, including kidney stone disease. The prevalence of kidney stones has increased worldwide, despite recent therapeutic advances, due to its high recurrence rate, suggesting the importance of prevention of repeated recurrence in the treatment of kidney stone disease. Using a mouse model of renal crystal formation, we investigated the preventive effects of blockade of OSM receptor β (OSMRβ) signaling on the development of kidney stone disease by treatment with a monoclonal anti-OSMRβ antibody that we generated.

View Article and Find Full Text PDF

This study examined the relationship between the systemic inflammation response index (SIRI) and kidney stone occurrence in adults in the United States. It also evaluated its potential as a predictor of kidney stones. A total of 24,833 adult participants were included in the study using cross-sectional data from the 2007-2018 National Health and Nutrition Examination Survey (NHANES) database.

View Article and Find Full Text PDF