Infected Renal Lithiasis: Results of Long-Term Surgical and Medical Management
Patients with infection stones composed of struvite (Mg-NH4-PO4) and associated with infections with urease producing bacteria have been difficult to manage1–10. Recurrence of infection, regrowth of stones, and multiple surgical procedures have been common in many long-term studies and some workers have felt that surgery for infected stone was contraindicated because of the high recurrence rate. A long-term study was begun in 1966 to evaluate the effectiveness of a combined program of treatment of infected renal calculi by aggressive surgical removal of stones, careful diagnostic evaluation, and close medical follow-up. This paper concerns the results of this long-term study.
KeywordsPrimary Hyperparathyroidism Stone Formation Neurogenic Bladder Multiple Surgical Procedure Combine Program
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