Contemporary management in patients with chronic calculous pyelonephritis

Abstract

Introduction. Urolithiasis takes an important place in the structure of urological pathology, thanks to its high incidence, its recurrence frequency and the complications it might cause. There are many scientific publications dedicated to the study of urinary infection as an etiological factor of urolithiasis. Chronic pyelonephritis has the important etiologic and pathogenic role in the development of urolithiasis, but stone formation as a complication is possible in chronic inflammation of the upper and lower urinary tract. In some cases, urinary infection precedes the development of urolithiasis and may serve as a trigger for kidney stones formation. In other cases, it associated with urolithiasis, arising from other infectious causes. The association of metabolic factors and the infection usually forms chemically mixed renal stones containing phosphates, which in most cases are recurrent. In general, urinary tract infection is detected in 80% of cases of urolithiasis.