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Bladder or Urinary Tract Stones (Urolithiasis)

The incidence of urolithiasis has tripled over the last ten years due to changing dietary habits and an increase in metabolic syndrome. Renal colic is often the main symptom of urolithiasis. The gold standard for diagnostics is the low-dose native abdominal CT. The initial imaging method is sonography. A (micro) hematuria is very often present in these patients. The choice of therapy method depends on the size, number, and localisation of the concretions. If there are signs of infection, recurrent renal colic, and concretions > 5 mm, an immediate urinary diversion via ureteral stent and subsequent stone remediation is recommended.

Treatment / Therapy

Conservative

  • Spasmoanalgesia, laboratory and ultrasound monitoring
  • In case of uric acid concretions, possibly chemolitholysis

Operative

  • Ureteral stent insertion as an acute therapy or in preparation for further operative stone remediation; outpatient or inpatient, with or without anaesthesia (as an alternative urine diversion, and in the event of non-passable stones in the ureter, a renal fistula catheter system may be necessary)
  • Extracorporeal shockwave lithotripsy (ESWL); under inpatient conditions, under anaesthesia
  • Endourological stone treatment using rigid or flexible ureterorenoscopy (URS); under inpatient conditions; under anaesthesia; generally in accordance with the previous ureter stent insertion
  • Minimally invasive percutaneous nephrolitholapaxy (mini-PNL); under inpatient conditions, under anaesthesia
  • Combinations of the operative therapies are possible

Contact

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Clinic and Polyclinic for Urology

PD Dr. Uwe Zimmermann

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Clinic and Polyclinic for Urology

Dr. Cindy Rönnau

Contact

Tamara Usichenko
Geschäftsbereich Patientenmanagement
Universitätsmedizin Greifswald
Fleischmannstr. 8
17475 Greifswald

Phone: +49 3834 86-5184
Mobil: +49 151 55459980
E-Mail: international.patientsmed.uni-greifswaldde