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The clinical implications of brushite calculi.

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.
AuthorsL W Klee, C G Brito, J E Lingeman
JournalThe Journal of urology (J Urol) Vol. 145 Issue 4 Pg. 715-8 (Apr 1991) ISSN: 0022-5347 [Print] United States
PMID2005685 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Calcium Phosphates
  • calcium phosphate, dibasic, dihydrate
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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