Osther SS. et al., 2023: Kidney stone disease
Urinvejskirurgisk Afdeling, Sygehus Lillebælt, Vejle.
Urinvejskirurgisk Afdeling, Odense Universitetshospital.
Urinvejskirurgisk Afdeling, Københavns Universitetshospital - Herlev og Gentofte Hospital.
Urinvejskirurgisk Afdeling, Sjællands Universitetshospital, Roskilde.
Urinvejskirurgisk Afdeling, Aarhus Universitetshospital.
Urinvejskirurgisk Afdeling, Aalborg Universitetshospital.
Urinvejskirurgisk Afdeling, Regionshospitalet Gødstrup.
Abstract
Kidney stone disease is rapidly increasing with a strong relationship to metabolic syndrome. This review gives a brief overview of the current state and current treatment modalities. Increasing use of CT and ultrasound scans leads to increased diagnosis of asymptomatic kidney stones, which rarely require treatment. The trend in stone treatment goes towards endoscopic lithotripsy which together with ESWL enables a personalised approach. Obstructive stones with infection require urgent intervention to reduce mortality. Increased fluid intake, dietary changes as well as potassium citrate supplements are the most important elements in stone prevention in the common idiopathic stone disease.
Ugeskr Laeger. 2023 Apr 3;185(14):V11220687.PMID: 37057692 Review. Danish.
Free article
Comments 1
This article in Danish is a clear and superficial description of renal stone disease adapted for colleagues with very little insight in the background and treatment of patients with urinary tract stones.
The authors emphasize the advantage of individualized treatment of patients with stones in which SWL is important because of its non-invasiveness. The latter conclusion needs to be observed particularly because it comes from a stone center with great interest in endoscopic stone removal.
Hans-Göran Tiselius