Indications for Surgical Removal, Including Asymptomatic Stones

Young, James G.; Keeley, Francis X.

doi:10.1007/978-1-84800-362-0_38

Cited by 2 publications

(2 citation statements)

References 65 publications

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“…With the recent expanding use of laser technology, the numerous operative modalities available have led to a rise in multi‐step interventions, repeat treatments and combination therapy, which have the potential to increase the number of treatments performed. Therefore, while minimally invasive techniques may be associated with reduced morbidity, modern treatments are often less streamlined [1,2].…”

Section: Introductionmentioning

confidence: 99%

Evolution of stone management in Australia

Lee

Bariol

2011

BJU International

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What's known on the subject? and What does the study add? There is very little contemporary data regarding stone management in Australia. This study assesses the impact of technological advances on stone management practises, and raises questions as to why there is an increasing rate of intervention for stone disease in Australia. Knowledge of management trends as demonstrated in this paper give individual surgeons a guideline for contemporary practise in this country. OBJECTIVE To examine trends in the operative management of upper urinary tract stone disease in Australia over the past 15 years. MATERIALS AND METHODS The Medicare Australia and Australian Institute of Health and Welfare databases were used to determine the annual number of renal colic presentations and procedural interventions undertaken for stone disease. RESULTS In Australia over the past 15 years, the annual number of procedural interventions for upper urinary tract stones has increased, primarily due to the rising number of endoscopic procedures performed. During this period, shock wave lithotripsy numbers have remained steady whilst open and percutaneous procedures have been in decline. CONCLUSION The introduction of and subsequent preference for less invasive techniques has changed the management pathway of patients presenting with stone disease in Australia. Further studies are necessary to determine whether this escalation in endoscopic procedures is due to an increase in the incidence of stone disease, earlier detection, a lower intervention threshold or a higher retreatment rate.

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Section: Introductionmentioning

confidence: 99%

Evolution of stone management in Australia

Lee

Bariol

2011

BJU International

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“…Calcium phosphate and uric acid are two other compounds widely abundant in the urinary stones [3,4]. The stones which do not pass the urinary system naturally can be treated in several ways -dissolved with the aid of drugs, broken by ultrasound or removed surgically [5]. The identification of the components and structure of the stone enables to find out the underlying cause of the disease, prescribe treatment and prevent recurrences.…”

Section: Introductionmentioning

confidence: 99%