Managing Urolithiasis

Recent advances in understanding and managing urolithiasis

During the last few years, there has been relevant progress in both understanding and managing urolithiasis. Our knowledge of stone formation has changed; although the importance of urine biochemistry was questioned by several investigators years ago, the decisive role of cellular processes (induced by oxidative stress) and the renal papilla has only recently been generally accepted as the most...

Urolithiasis.

Urolithiasis is the most common urinary problem in male ruminants, and one of the most common emergencies in male goats and sheep. This disease has substantial welfare implications because it causes severe pain and it has a high fatality rate. The expense associated with veterinary care and loss of affected animals has a strong economic impact on pet owners and farmers.

Urate urolithiasis.

Urate uroliths belong to the purine family of uroliths and are the third most common urolith type in dogs and cats. In dalmatians, an autosomal recessive trait is responsible for hyperuricosuria and a predisposition to urate urolithiasis. In other dog breeds and in cats, urate uroliths are predominantly associated with liver disease, specifically portosystemic vascular anomalies. Idiopathic ura...

WHAT RISK FACTORS HAVE BEEN ASSOCIATED WITH CALCIUM OXALATE UROLITHIASIS? Feline Urolithiasis – Managing the Consequences of an Epidemiological Shift in Urolith Type

Urolithiasis in children.

In general, the criteria for the treatment of urolithiasis in children are the same as those for adults. Today, extracorporeal shock wave lithotripsy (ESWL) is the method of choice in the treatment of most pediatric urinary stones. Stone-free rates between 67% and 93% at short-term follow-up, and 57% to 92% at long-term follow-up, have proven the efficacy of ESWL treatment in children. Neverthe...