[Medical treatment of uric acid lithiasis of the urinary tract and usefulness of double J catheter].

Abstract

OBJECTIVE:

To analyze the utility of chemolysis and the double-J ureteral catheter in patients with uric acid calculi.

METHODS:

The study comprised 30 patients (28 men and 2 women) treated with chemolysis for uric acid calculi and who consulted for renal colic. The indication for placement of a double-J ureteral stent were pain, moderate-to-severe hydronephrosis, fever and urinary tract infection. The calculi were < or = 10 mm in size and were located in the renal pelvis (3), upper ureter (5), middle ureter (2) and lower ureter (23).

RESULTS:

The uric acid calculi were dissolved with intravenous and oral combination chemolysis. The double-J catheter was useful in the cases with urinary tract obstruction, fever or urinary tract infection.

CONCLUSIONS:

Medical treatment is useful in the management of uric acid calculi. The double-J catheter is beneficial in patients with urinary tract obstruction.

• Authors: E A Granados Loarca
• Journal: Archivos espanoles de urologia (Arch Esp Urol) Vol. 54 Issue 2 Pg. 157-61 (Mar 2001) ISSN: 0004-0614 [Print] Spain
• Vernacular Title: Tratamiento médico de la litiasis de ácido úrico del tracto urinario y utilidad del catéter doble "J".
• PMID: 11341120 (Publication Type: Clinical Trial, English Abstract, Journal Article)

Chemical References

• Uric Acid

Topics

• Adolescent
• Adult
• Catheterization
• Combined Modality Therapy
• Female
• Humans
• Kidney Calculi (therapy)
• Male
• Middle Aged
• Ureteral Calculi (therapy)
• Uric Acid
• Urinary Catheterization