Analysis of the crystalline structure of urinary stones with the use of infrared spectrometry
Article published in Urologia Polska 2002/55/3.

authors

Paweł Porzycki, Jacek Tereszkiewicz: Oddział Urologii Wojewódzkiego Szpitala Specjalistycznego w Rzeszowie
Ordynator oddziału: dr Jacek Tereszkiewicz

keywords

urolithiasis, urinary tract, infrared spectrometry

summary

The aim of the study is to estimate the frequency of each type of crystal appearance in urinary stones in patients, treated in Department of Urology between March 1999 and December 2000, and to compare it with the results obtained by other authors.

Material and method. Infrared spectrometry was used for qualificatrve analysis of urinary stones, removed during operation in 58 men and 44 women. The frequency of each type of crystal appearance was estimated.

Results. Urinary stone analysis showed the most frequent appearance of monocomponent calculi composed of oxalate and phosphate.

Conclusions. Our results are some different from these of the literature. The frequency of monocomponent calculi appearance composed of calcium oxalate crystals is similar. Future studies are needed, particularly of the multicomponcnl calculi, with an established mode of delivery of a piece of the stone for analysis.

references

1. Klinger M: Współczesne podejście do zapobiegania nawrotom kamicy nerkowej. Uroi Pol, 1997; 3; 249-253.
2. Różański W, Górkiewicz Z: Analiza budowy krystalicznej 161 kamieni moczowych. Pamiętnik. XXVJH Kongres Naukowy Polskiego Towarzystwa Urologicznego, Cieszyn, 1998, Kamica/Wykład nr 7.
3. Tiselius HG, Ackermann D, Alken P, Buck C, Conort P, Galluc-ci M:Guidelines on Urolithiasis. Eur Urol 2001; 40; 362-371.
4. Pappas D, Smith BW, Winefordner JD: Raman spectroscopy in bioanatysis. Talanta. 2000; 51:131-144.
5. Integrated analysis at Louis C. Herring Laboratory, www.haringlab.com
6. Lehmann DA et al.: Identification of renal calculi by computerized infrared spectivscopy. Clin Chim Acta 1988; 173:107-116.
7. Vanwaeyenbergh J, Vergauwe D, Verbeeck RMH. Infrared spec-trometric analysis of endemic bladder stones in Niger. Eur Urol 1995; 27:154-159.
8. Stone analysis, www.arup-lab.com
9. Jeromin L, Lipiński P, Lipiński M:Miejsce ureterolitotomii we współczesnym leczeniu kamicy moczowodowej. Urol Pol 1998; 51, la: 174-175.
10. Zieliński J, Kokot F, Borkowski A, Lenko J: Kamica moczowa w: Zieliński J, Lenko J (eds): Urologia, Warszawa, PZWL, 1992, t. 2,280-322.
11. Hortin GL, King C, Miller KD, Kopp JB: Detection of indinavir crystals in urine. Dependence on method of analysis. Archives of Pathology and Laboratory Medicine. 1999; 124,2:246-250.

correspondence