Talati, J.J. | Tiselius, H.G. | David, M.A. | Ye, Z. | Abbas, F. | Ather, H. | Siddiqui, M.K.
Book | 2012 | Urolithiasis: Basic Science and Clinical Practice , pp.1 - 982
Urolithiasis: Basic Science and Clinical Practice is a comprehensive text that assists urologists in defining the best choice of treatment for each case through a balanced presentation of underlying science, diagnostic methods and practical tips, with additional discussions on educational issues, costs and management of resources. This user-friendly practical resource is replete with full-color illustrations and radiographs, covering all aspects of stone disease, and offering perspectives from Europe, the Americas, China, South Asia, Africa, and Australia. Topics include the biochemical and physiological basis of stone formation, tr . . .eatment options, complications, assessment of techniques and technologies available, and guidelines on the prevention of stone recurrence. Urolithiasis: Basic Science and Clinical Practice is the definitive text on stone disease and is a must read for young consultants starting a new practice, and urologists in residence and training. © Springer-Verlag London 2012
Book Part | 2012 | Urolithiasis: Basic Science and Clinical Practice , pp.621 - 630
When compared with the adult population, which has an overall 1-2 % incidence, urinary stone disease in children is relatively rare but often associated with metabolic abnormalities that can lead to recurrent stone episodes, emphasizing the necessity of full metabolic evaluation after the first stone episode. As a recurrent pathology that may reveal functional as well and morphologic changes in the urinary tract, each child should be evaluated?thoroughly on an individual basis. In children, stone recurrence rates range widely from 3.6 to 67 % and appear to be highest in children with metabolic abnormalities. Without close follow-up . . .and medical management, stone recurrence rates have been reported to be as high as 50 % within 5 or 6 years. Given the high risk of subsequent calculus formation, it could be argued that all children should undergo some form of evaluation to determine the cause of their kidney stone and to provide a basis for proper management strategies. It is well known that certain groups of children should undergo a full metabolic work-up due to the high risk of recurrence. Through these efforts, future stone formation and/or growth may be controlled in pediatric population, limiting the morbidity of this disease. © Springer-Verlag London 2012. All rights reserved