PTU - Polskie Towarzystwo Urologiczne
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Urinary lithiasis (part II). Metabolic factors associated with urolithiasis
Article published in Urologia Polska 2005/58/3.

authors

Bożena Eberdt-Gołąbek
Instytut Matki i Dziecka w Warszawie, Klinika Pediatrii
Dyrektor instytutu: prof. dr hab. Wojciech Woźniak
Kierownik kliniki: prof. dr hab. Andrzej Milanowski

keywords

urinary tract, urinary lithiasis, metabolic urolithiasis

summary

Introduction.
Urinary lithiasis is not always limited to stone formation which can be treated surgically. Frequently it is associated with inborn abnormalities of metabolism of different etiology and this leads to slow progressive urinary lithiasis. For this reason the diagnostic search for precise etiological factors is decisive in implementing effective prophylactic treatment. Metabolic disturbances resulting in urinary lithiasis are the most common etiological group in the research studies of highly specialistic centres. In view of the frequently familial character of urinary lithiasis, establishing the precise nature of metabolic disturbances will help to identify other symptomless cases in the family. In the presentation, urinary lithiasis associated with the following metabolic disturbances are discussed. These are: idiopathic hypercalcuria, primary hyperparathyroidism, primary renal tubular acidosis, primary hyperoxaluria, xanthinuria, cystinuria.
The aim of the study.
The aim of the study is to discuss the metabolic aspects of urinary lithiasis.
Conclusions.
Inborn abnormalities of metabolism are the most frequent cause of urolithiasis. Each patient with urinary lithiasis should undergo diagnostic procedures in order to establish the precise etiology. This is decisive in implementing effective prophylaxis.

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correspondence

Bożena Eberdt-Gołąbek
Klinika Pediatrii
ul. Kasprzaka 17a
01-211 Warszawa
tel. /fax (022) 32 77 043
pediatria@imid.med.pl