PERCUTANEOUS NEPHROSTOLITHOTOMY : What Is Its Role in 1997? - 11/09/11
Riassunto |
Not all urinary calculi require surgical treatment. Intervention generally is required only if there is pain, obstruction, or associated urinary tract infection. In certain situations, however, therapy may be indicated for asymptomatic calculi. For example, surgical removal of staghorn calculi is recommended in most individuals because of the risk to renal function posed by an untreated staghorn calculus. Also, the removal of smaller calculi, regardless of symptoms, often is considered for occupational, social, or health reasons. Airline pilots, or anybody for whom a sudden attack of renal colic might produce unacceptable or even dangerous interruptions of occupation or lifestyle, are candidates for the treatment of asymptomatic urolithiasis. Patients about to undergo organ transplantation or implantation of artificial prostheses should be rendered stone-free to minimize the risk of urinary tract infection, which could prove life-threatening in such patients.
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Address reprint requests to Ralph V. Clayman, MD, Division of Urologic Surgery, Washington University School of Medicine, 4960 Children's Place, St. Louis, MO 63110 |
Vol 24 - N° 1
P. 43-58 - Febbraio 1997 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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