Skip to main content
Log in

Urinary excretion of urate in patients with calcium oxalate stone disease

  • Originals
  • Published:
Urological Research Aims and scope Submit manuscript

Summary

The diurnal variation in excretion and concentration of urinary urate was studied in 31 patients with calcium oxalate stone disease. Urate excretion was highest during the day-time, decreased in the evening and was low during the night. Meal-related peaks were observed. The concentration of urate reached the highest levels during the morning hours and, attributable to a low pH in morning urine, most samples were at this time super-saturated with respect to uric acid. In addition, many urines appeared to be at high risk of exceeding the uric acid formation product. Concerning the ion-activity product of sodium urate, supersaturated samples were frequently found, but the risk of exceeding the formation product for sodium urate at a normal urate excretion was apparently low.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Berthoux FC, Juge J, Genin C, Sabatier JC, Assenat H (1979) Double-blind trial of allopurinol as a preventive treatment in calcium urolithiasis. Min Electr Metab 2:207

    Google Scholar 

  2. Brien G, Bick C (1977) Allopurinol in the recurrence prevention of calcium oxalate lithiasis. Eur Urol 3:35

    Google Scholar 

  3. Brodaus AE, Thier SO (1979) Metabolic basis of renal stone disease. New Engl J Med 300:839

    Google Scholar 

  4. Coe FL, Kavalach AG (1974) Hypercalciuria and hyperuricosuria in patients with calcium nephrolithiasis. New Engl J Med 291:1344

    Google Scholar 

  5. Coe FL, Lawton RL, Goldstein RB, Tembe V (1975) Sodium Urate accererates precipitation of calcium oxalate in vitro. Proc Soc Exp Biol Med 149:926

    Google Scholar 

  6. Coe FL (1977) Treated and untreated recurrent calcium nephrolithiasis in patients with idiopathic hypercalciuria, hyperuricosuria or no metabolic disorder. Ann Int Med 87:404

    Google Scholar 

  7. Coe FL (1980) Hyperuricosuria calcium oxalate nephrolithiasis. In: Brenner BM, Stein JH (eds) Nephrolithiasis. Churchill Livingstone, New York Edinburgh London, p 116

    Google Scholar 

  8. Coe FL, Strauss AL, Tembe V, Le Dun S (1980) Uric acid saturation in calcium nephrolithiasis. Kidney Int 17:662

    Google Scholar 

  9. Fellström B (1981) Urate metabolism and renal calcium stone disease. Scand J Urol Nephrol (Suppl) 62:34

    Google Scholar 

  10. Fellström B, Backman U, Danielson BG, Johansson G, Ljunghall S, Wikström B (1982) Urinary excretion of urate in renal calcium stone disease and in renal tubular acidification disturbances. J Urol 127:589

    Google Scholar 

  11. Finlayson B, Smith A (1974) Stability of first dissociable proton of uric acid. J Chem Eng Data 19:94

    Google Scholar 

  12. Finlayson B (1977) Calcium stones: some physical and clinical aspects. In: Davis DS (ed) Calcium metabolism in renal failure and nephrolithiasis. John Wiley and Sons, New York, p 337

    Google Scholar 

  13. Finlayson B, Du Bois L (1978) Adsorption of heparin on sodium acid urate. Clin Chim Acta 84:203

    Google Scholar 

  14. Hartung R, Bergman M (1974) Oxalatlithiasis und Hyperurikurie. Helv Chir Acta 41:405

    Google Scholar 

  15. Hodgkinson A (1976) Uric acid disorders in patients with calcium stones. Br J Urol 48:1

    Google Scholar 

  16. Kageyama N (1971) A direct colorimetric determination of uric acid in serum and urine with uricase-catalase system. Clin Chim Acta 31:421

    Google Scholar 

  17. Koutsoukos PG, Lam-Ervin CYC, Nancollas GH (1980) Epitaxial considerations in urinary stone formation. I. The urate-oxalatephosphate system. Invest Urol 18:178

    Google Scholar 

  18. Marshall RW, Robertson WG (1976) Nonograms for the estimation of the saturation of urine with calcium oxalate, calcium phosphate, magnesium ammonium phosphate, uric acid, sodium acid urate, ammonium acid urate and cystine. Clin Chim Acta 72:253

    Google Scholar 

  19. Meyer JL, Bergert JH, Smith LH (1976) The epitaxially induced crystal growth of calcium oxalate by crystalline uric acid. Invest Urol 14:115

    Google Scholar 

  20. Meyer JL (1981) Nucleation kinetics in the calcium oxalatesodium urate monohydrate system. Invest Urol 19:197

    Google Scholar 

  21. Miano L, Petta S, Gallucci M (1979) Allopurinol in the prevention of calcium oxalate renal stones. Eur Urol 5:229

    Google Scholar 

  22. Pak CYC, Arnold LH (1975) Heterogenous nucleation of calcium oxalate by seeds of monosodium urate. Proc Soc Exp Biol Med 149:930

    Google Scholar 

  23. Pak CYC, Waters O, Arnold L, Holt K, Cox C, Barilla D (1977) Mechanism for calcium urolithiasis among patients with hyperuricosuria. J Clin Invest 59:426

    Google Scholar 

  24. Pak CYC, Holt K, Zerwekh JE (1979) Attenuation by monosodium urate of the inhibitory effect of glycos-aminoglycans on calcium oxalate nucleation. Invest Urol 17:138

    Google Scholar 

  25. Pak CYC, Holt K, Britton F, Peterson R, Crowther C, Ward D (1980) Assessment of pathogenetic roles of uric acid, monopotassium urate, monoammonium urate and monosodium urate in hyperuricosuric calcium oxalate nephrolithiasis. Min Electr Metab 4:130

    Google Scholar 

  26. Robertson WG, Peacock M, Heyburn PJ, Marshall DH, Clark PB (1978) Risk factors in calcium stone disease of the urinary tract. Br J Urol 50:449

    Google Scholar 

  27. Schneeberger W, Bach D, Hesse A, Dewes W, Vahlensieck W (1981) Circadian excretion of uric acid on condition of standard diet after purine load in calcium oxalate stone-formers and healthy controls. In: Smith LH, Robertson WG, Finlayson B (eds) Urolithiasis clinical and basic research. Plenum Press, New York London, p 51

    Google Scholar 

  28. Schwille P, Samberger N, Wach B (1976) Fasting uric acid and phosphate in urine and plasma of renal calcium stone formers. Nephron 16:116

    Google Scholar 

  29. Smith MJV, Hunt LD, King JS, Jr, Boyce WH (1969)Uricemia and urolithiasis. J Urol 101:637

    Google Scholar 

  30. Smith MJV (1977) Placebo versus allopurinol for renal calculi. J Urol 117:690

    Google Scholar 

  31. Tiselius HG, Almgård LE, Larsson L, Sörbo B (1978) A biochemical basis for grouping of patients with urolithiasis. Eur Urol 4:241

    Google Scholar 

  32. Tiselius HG (1980) Inhibition of calcium oxalate crystal growth in urine during treatment with allopurinol. Br J Urol 52:189

    Google Scholar 

  33. Tiselius HG, Larsson L (1981) Urine composition in patients with calcium oxalate stone disease during treatment with allopurinol. In: Vahlensieck W, Gasser G (eds) Pathogenese und Klinik der Harnsteine VIII. Steinkopf, Darmstadt, p 414

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tiselius, HG., Larsson, L. Urinary excretion of urate in patients with calcium oxalate stone disease. Urol. Res. 11, 279–283 (1983). https://doi.org/10.1007/BF00256347

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00256347

Key words

Navigation