Nachsorge nach Steinsanierung bei Urolithiasis [Follow-up after urolithiasis management]

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_6C97F9987018
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Nachsorge nach Steinsanierung bei Urolithiasis [Follow-up after urolithiasis management]
Journal
Der Urologe. Ausg. A
Author(s)
Stritt K., Bosshard P., Roth B.
ISSN
1433-0563 (Electronic)
ISSN-L
0340-2592
Publication state
Published
Issued date
05/2022
Peer-reviewed
Oui
Volume
61
Number
5
Pages
500-507
Language
german
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Urinary stones often affect younger people. Because the risk of recurrence is high, regular follow-up is important for individuals at risk.
To summarize the extent of urinary stones and the health and economic impact in the population; to provide recommendations for general and stone-specific follow-up.
Analysis and discussion of publications and guideline recommendations.
The risk of recurrence after a stone attack can be high depending on the risk profile. An initial metabolic workup should be performed promptly after stone therapy. General dietary management should be intensified by stone-specific dietary management depending on the risk profile. Nutritional counseling may be helpful. Imaging after stone therapy is used to monitor the success of treatment and detect recurrences early. Since the risk of recurrence can vary greatly depending on the stone composition, not only the type of imaging but also its frequency should be adjusted accordingly. The same applies to the various stone therapies, which help determine the frequency and type of imaging follow-up. Exact guidelines and cost-effectiveness analyses of follow-up examinations after stone therapy are unfortunately missing.
Acute urolithiasis represents an excruciating experience for patients. Accordingly, their willingness to undergo metaphylaxis and follow-up shortly after the event is strong. Since the risk of recurrence after a stone attack can be very high, regular follow-up after stone therapy is essential. The frequency of follow-up should be adapted to the probability of stone recurrence.
Keywords
Female, Follow-Up Studies, Humans, Lithotripsy, Male, Recurrence, Urinary Calculi/therapy, Urolithiasis/diagnosis, Urolithiasis/etiology, Urolithiasis/therapy, Imaging, Kidney stone, Metaphylaxis, SWL
Pubmed
Web of science
Open Access
Yes
Create date
11/04/2022 8:12
Last modification date
23/11/2022 8:11
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