Coraliform stones. Aspectsofetiology, clinical and treatment. (Rewliterary)

Abstract

Introduction: Urolithiasis occupies a prominent place in the structure of urological diseases, due to its relatively high incidence, frequent relapses and adverse consequences for the kidneys that it can cause. Patients with urolithiasis is 25 to 41.5% of all hospitalized patients to specialized departments of urology. Coraliform stones are defined by the presence of renal concretions which occupies the entire basin and at least two calyces. It is a private entity, well defined by etiology, forms of presentation, clinical course, treatment methods and therapeutic outcomes Purpose and Objectives: Studying extensive literature on the etiology and pathogenesis of urinary stones, highlight and describe the clinical picture and treatment of coraliform gallstones . Elucidation of the clinical case of kidney coraliform stones and treatment methods used. Material and methods: They examined the new data from the literature on etiopathogenesis, clinical and treatment coraliforme stones, the clinical case of a patient hospitalized in the Department of Urology and Nephrology SCR and treatment was examined. Results: According to the epidemiological study conducted by Johnson and Wilson Minenesotaa period of 25 years 12% of men and 5% of women will have at least one symptom of renal colic until the age of 70 years. Unlike other types coraliformi kidney stones are more common in women (in 70 percent cases) than in men. Since 2005 LR tops in renal pathologies in our country in recent years has increased the number of nephrectomy because of complicated and infected calyces stones in Moldova. The etiology of coraliform gallstones is varied with exogenous and endogenous factors, and one of them occupies a prominent place urinary infection. In the coraliform stones pathology all the theories are involved equally. Randall's theory, Carr's theory, the theory stones intranefronale theory of crystallization , glycoprotein matrix theory, ring theory precipitating urinary theory of crystallization inhibitors. As a rule,coraliform urolithiasis has hidden symptoms that lead to a massive increase coraliform stone before being detected, especially it can form within a few weeks or months.The methods of treatment for the coraliform stones are Nephrolithotomy percutaneous, open surgery, laparoscopic surgery, extracorporeal lithotripsy (ESWL), multimodal treatment, conservative treatment and prophylaxis. Patient B., aged 66, was scheduled treatment in urology department with clinical diagnosis Republican Clinical Hospital. Nephrolithiasis. The coraliform stones on the right kidney. The coraliform stones in the left lower pelvis. Latent chronic pyelonephritis coraliform. Treatment - Right rear Pyelolithotomie. Conclusion: Coraliform stone is a particular entity for the urological diseases with a relatively high incidence, with a varied and complex etiology, and one of the primary factors occupy kidney infection. Treatment for each patient is individual. Prevention and metafilaxia provides relapse prevention and are performed in dependency of the chemical composition of calculation extracted.