Treatment Of Urolithiasis

Although methods of urinary stone removal are becoming evermore effective, the prevalence of urolithiasis is continuously increasing. Epidemiological studies show that 5-10% of the population suffer from urinary stones. Stone removal alone is not a curative measure. Depending on the stone composition, a recurrence rate of 60-100% must be expected. Hence, analysis of the stone material and basic diagnosis of the metabolic origins of urolithiasis are imperative, as well as consistent recurrence prevention in high-risk patients.This revised and updated handbook meets these requirements. It is designed to assist clinicians and healthcare professionals by guiding them through the appropriate diagnostic examinations and the development of effective and safe plans for treatment and prevention. It takes the newest international and European guidelines for urinary stone therapy into account, and includes the latest findings in clinical and laboratory diagnosis, dietary therapy and medication. Furthermore, it offers specific solutions for the treatment of children. Its clear organization makes it a valuable and indispensable reference book, especially for urologists, nephrologists and pediatricians.

Urolithiasis is not only one of the most frequently encountered diseases at uro logical clinics; it is also the disorder whose treatment has shown the most rapid progress in the past decade. In that period, medicine has experienced a real revolution, characterized by minimally invasive treatments, improvement of the quality of life, and cost-effectiveness in treatment outcomes. In urology, the revolution started with the development of endoscopic retrograde treatment of urolithiasis in the upper urinary tract, which led to development of the percuta neous antegrade maneuver in the latter half of the 1970s. The most remarkable event occurred in 1982, when clinical use of extracorporeal shock wave lithotripsy was introduced by the Munich group, represented by Dr. Christian Chaussy, at the 18th Congress of the International Society of Urology in San Francisco. With the advent of these new strategies, open surgery for urolithiasis has all but dis appeared. Today, with the availability of new technology and equipment, guide lines for the treatment of urolithiasis have changed in all developed countries. It is quite timely that the Meeting of International Consultation on Urolithiasis will be held in Paris in June 2001 to establish international guidelines for urolithiasis. Looking through this textbook for urolithiasis, I was greatly impressed to learn that we have already drawn up some guidelines. The book includes all the updated advances of urolithiasis presented by the most prominent and experi enced urologists from all around the world.

This book serves as a concise guide to urinary stone disease, providing simplified and complete information about the topic area. Various surgical techniques are provided and accompanied by first-hand accounts, to give insight into the operating room. The book is a quick reference guide and is relevant to both trainees and professionals. Written by a leading expert in the field, this book brings together years of experience and contains essential information on all aspects of lithology. The book covers all treatment options so that the best possible methods can be chosen for each patient. Urinary stone disease is a widespread ailment and updated information about it is permanently needed by trainees and professionals.

A host of new technologies, techniques, and medical regimens have been introduced over the past 30 years for the diagnosis, management, and prevention of urinary calculi. These range from novel imaging procedures and medical expulsive therapy to interventional treatment options. The contemporary urologist should be familiar with and adept at implementing these new concepts and techniques. Clinical Management of Urolithiasis will serve as a practical guide to every clinically relevant aspect of urolithiasis and its treatment, both surgical and medical. In addition to providing up-to-date evidence-based recommendations regarding stone management, the book reflects the real-life experience of well-known international experts. Each chapter includes tables and algorithms that allow the reader easily to check the requirements for specific procedures and to translate them into clinical practice.

Urolithiasis, or stone disease occurs in 7% of women and 12% of men at some point, and these statistics are rising. Furthermore, for those who form a stone, the likelihood of a recurrence is nearly 50% within 5 years of initial diagnosis. Therefore, the need for effective, minimally invasive alternatives for stone eradication and prevention is critical. Because stone disease comprises a large part of any urologist’s practice, a thorough knowledge of the pathogenesis and pathophysiology of stone disease is critical in order to understand and implement treatment strategies to prevent stone formation. Likewise, a working knowledge of the surgical treatments, instrumentation and outcomes is necessary to arm patients with sufficient information to make an informed decision and to provide the appropriate treatment modality for a given stone situation. In Urolithiasis: Medical and Surgical Management, the authors provide a complete guide to the management of stone disease from both a medical and surgical prospective. This book should be an invaluable resource for those who treat stone disease in any capacity, whether surgically or medically, acutely or long-term.

Written entirely by surgical urologists, Surgical Management of Urolithiasis: Percutaneous, Shockwave and Ureteroscopy presents a comprehensive overview of the past, present, and future of surgical techniques, with a focus on educating urologists on the full spectrum of stone procedures. In addition to the technical issues, detailed complications are described. Basic as well as advanced techniques are presented in both a didactic and visual mode with representative endoscopic images and radiographs. Recent advancements which are not routinely a core component of surgical training programs are also covered in detail. Compact and extensively illustrated, Surgical Management of Urolithiasis: Percutaneous, Shockwave and Ureteroscopy is a unique and valuable resource in the field of surgical urolithiasis, essential both for those currently in training and for those already in clinical practice.

This book aims to provide readers a practical guidance in the management of urolithiasis from diagnosis to surgical treatment. First part introduces related anatomy, symptom, and Imaging of urinary calculi. In the following chapters, techniques, tips and tricks in endourological, ureteroscopic, PCNL, ESWL, and laparoscopic treatment of urinary calculi are described in details with high-resolution illustrations and typical cases. Last part discusses the choice of treatment for some specific case situations. Written by leaders and core faculties from the Asian Urology Surgery Training and Education Group (AUSTEG), this book will be a valuable reference for urologists, as well as practitioners in related disciplines.

Acute urinary stones cause one of the most painful sensations the human body can experience, more painful than childbirth, broken bones, gunshot wounds or burns. Master your patient management with this comprehensive guide to a debilitating medical condition. Urinary Stones: Medical and Surgical Management provides urologists, nephrologists and surgeons with a practical, accessible guide to the diagnosis, treatment and prevention of urinary stone disease. Divided into 2 parts – covering both medical and surgical management - leading experts discuss the key issues and examine how to deliver best practice in the clinical care of your patients. Topics covered include: Evaluation and management of stones in children Renal colic and medical expulsive therapy Imaging in stone disease: sonography, contrast based fluoroscopy, computed tomography and magnetic resonance urography Multimodality therapy: mixing and matching techniques to improve outcome Complications of stone disease Interpretation of 24 hour urine chemistry Prevention of recurrent calcium, uric acid, struvite and cystine stones The different surgical techniques, including: ureteroscopy, shockwave lithotripsy, ureteroscopic lithotripsy and percutaneous nephrostolithotomy Packed with high-quality figures, key points, and management algorithms, easy to follow, clear clinical guidance is supported by the very latest in management guidelines from the AUA and EAU. Brought to you by the best, this is the perfect consultation tool when on the wards or in the office.