Abstract |
The clinical history of 30 patients with a total of 46 proved brushite urinary calculi was reviewed. The patients were active metabolically with 87% having a history of multiple calculi. Of the brushite stones 61% appeared hyperdense on x-ray but they had no consistent shape. Of the patients who were metabolically evaluated 82% had treatable abnormalities. Treatment with percutaneous nephrostolithotomy or ureteroscopy and ureteral lithotripsy was 92% successful in rendering the patient stone-free, whereas, extracorporeal shock wave lithotripsy monotherapy resulted in a stone-free rate of only 11%. Brushite stone patients require aggressive treatment, full metabolic evaluation and close clinical followup.
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Authors | L W Klee, C G Brito, J E Lingeman |
Journal | The Journal of urology
(J Urol)
Vol. 145
Issue 4
Pg. 715-8
(Apr 1991)
ISSN: 0022-5347 [Print] United States |
PMID | 2005685
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Calcium Phosphates
- calcium phosphate, dibasic, dihydrate
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Calcium Phosphates
- Child
- Female
- Humans
- Male
- Middle Aged
- Urinary Calculi
(chemistry, diagnostic imaging, therapy)
- Urography
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