Document Detail


Renal Stone Disease in Spinal Cord Injured Patients.
MedLine Citation:
PMID:  22356464     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Renal stone disease is common among SCI patients. They frequently have recurrent stones, staghorn calculi, and bilateral stone disease. The potential risk factors for stones in the SCI population are lesion level, bladder management strategy, specific metabolic changes, and frequent urinary tract infections. There has been a reduction in struvite stones among these patients, likely as a result of advances in their urologic care. The clinical presentation of stone disease in SCI patients may involve frequent urinary infections or urosepsis, and at the time of presentation patients may require emergency renal drainage. The proportion of patients who have their stones treated with different modalities is largely unknown. SWL is commonly used to treat stones in SCI patients, and has reported stone free rates of 50-70%. The literature suggests that the morbidity associated with PCNL in these patients is considerable. Ureteroscopy is a common modality used in the general population to treat upper tract stone disease. Traditional limitations of this procedure in SCI patients have likely been overcome with new flexible scopes, however the medical literature has not specifically reported on its use among SCI patients.
Authors:
Blayne Welk; Andrew Fuller; Hassan Razvi; John D Denstedt
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-22
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  -     ISSN:  1557-900X     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
The University of Western Ontario, Surgery (Urology), London, Ontario, Canada; blayne.welk@sjhc.london.on.ca.
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