Pediatric Bone Drugs: Calcium and Vitamin D

Putman, Melissa S.; Gordon, Catherine M.

doi:10.1007/978-1-4899-7436-5_10

Cited by 1 publication

(1 citation statement)

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“…On the other hand, high sodium and animal protein diets may increase the risk by affecting urinary calcium and citrate levels (24). A study conducted in Texas over a 15-year period highlighted the multifactorial nature of kidney stone disease, identifying multiple risk factors, with hypercalciuria being the most common (25). This complexity underlines the need for a comprehensive approach to management and prevention, involving dietary and lifestyle changes in addition to surgical interventions where necessary.…”

Section: Introductionmentioning

confidence: 99%

Comparing Ureteral Catheterization's Impact on Flank Pain Post Ureteroscopic Stone Management

Pathan,

Shahzad,

Manzoor

et al. 2024

JHRR

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Background: Urolithiasis, or kidney stone disease, is a prevalent condition that poses significant challenges in urological practice. The management of ureteral stones, particularly through ureteroscopy, is a common intervention. The use of short-term ureteral catheterization as a postoperative pain management strategy following ureteroscopic stone removal has been a subject of debate, with limited evidence on its efficacy and necessity. Objective: This study aimed to evaluate the effectiveness of short-term ureteral catheterization in reducing postoperative flank pain compared to non-catheterization in patients undergoing uncomplicated ureterolithotripsy for the management of distal ureteral stones. Methods: A prospective, randomized, controlled trial was conducted at Liaquat National Hospital, Karachi, from January to July 2013, involving 60 patients aged 15-70 years with distal ureteral stones less than 1.0 cm. Patients were randomized into two groups: Group A received short-term ureteral catheterization, and Group B did not. The primary outcome measured was the reduction in mean pain score by at least 4 points from the baseline at every 6-hour interval for the first 24 hours post-procedure. Statistical analysis was performed using SPSS version 25, applying chi-square tests, independent sample t-tests, and Mann-Whitney tests, with a p-value of less than 0.05 considered significant. Results: Both groups demonstrated a significant reduction in pain scores at 12, 18, and 24 hours post-operation. However, there was no significant difference in pain reduction between the catheterized (Group A) and non-catheterized (Group B) groups, with p-values of 0.55 for efficacy in pain reduction. The mean age, stone size, and postoperative hospital stay did not significantly differ between the groups, indicating that short-term ureteral catheterization did not offer additional benefits in managing postoperative pain or recovery. Conclusion: Short-term ureteral catheterization following uncomplicated ureterolithotripsy does not significantly improve pain management compared to non-catheterization. This suggests that routine catheterization may be unnecessary, potentially leading to a paradigm shift in postoperative care for patients undergoing ureteroscopic stone removal. Future studies with larger sample sizes and long-term follow-up are needed to further validate these findings.

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Section: Introductionmentioning

confidence: 99%