Urinary calculi in aviation pilots: what is the best therapeutic approach?

نویسندگان

  • Wei Zheng
  • Darren T Beiko
  • Joseph W Segura
  • Glenn M Preminger
  • David M Albala
  • John D Denstedt
چکیده

PURPOSE We reviewed treatment outcomes in a series of aviation pilots treated in the era of modern surgical techniques and provide recommendations regarding treatment in this unique group. MATERIALS AND METHODS We retrospectively analyzed the records of all aviation pilots surgically treated for urinary calculi at our 4 tertiary stone centers from January 1988 to June 2000. Preoperative data and postoperative results were evaluated. Primary outcome measures included stone-free status after initial therapy, time lost from work and overall stone-free rates. Secondary outcome measures included the need for secondary procedures and complications. RESULTS Of the 36 patients 17 had renal and 19 had ureteral stones. In 4 patients the stones passed spontaneously, while 17 were initially treated with extracorporeal shock wave lithotripsy (ESWL) (Dornier Medical Systems, Marietta, Georgia), 9 were initially treated with ureteroscopy and 6 were treated with percutaneous nephrolithotripsy. There was 1 complication. The stone-free rate for ESWL, percutaneous nephrolithotripsy and ureteroscopy after initial therapy was 35%, 100% and 100%, respectively. All patients were rendered stone-free after secondary therapy. Mean time lost from work for ESWL, percutaneous nephrolithotripsy and ureteroscopy was 4.7, 2.6 and 1.6 weeks, respectively. CONCLUSIONS Aviation pilots with surgical urolithiasis are best treated with an initial endoscopic procedure. Stone-free rates can be maximized, while time lost from work can be minimized when an endoscopic approach is used initially. All pilots with urolithiasis should undergo mandatory metabolic evaluations to institute medical therapy when indicated.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Prevalence of and Trends for Dyslipidemia among Pilots from one Airline in China

Introduction: Most of previous studies on dyslipidemia among pilots were cross-sectional surveys which cannot explore the temporal trend of dyslipidemia, and these studies were normally conducted at least five years ago. In addition, studies focusing on pilots in Southwest China are scarce. This study aimed to describe the prevalence of and trends in dyslipidemia among pilots f...

متن کامل

Co-morbid conditions in overweight and obese airmen: trends and aeromedical implications.

INTRODUCTION Excess bodyweight is known to be associated with many medical disorders which can be disqualifying for aviators. The actual prevalence of these conditions and associations with BMI in U.S. airmen has not been previously defined. This project explores overweight and obesity in valid holders of U.S. aeromedical certificates as of November 2003. METHODS A de-identified database of a...

متن کامل

بررسی رابطه باکتری‌های شایع در عفونت ادراری با سنگ ادراری در بیمارستان لبافی نژاد در سال 1383

Analyzing the relation between widespread bacteria in urinary infections and urinary calculi in Labaffi Nejad Hospital 2004 . Eslamie G, Taghavie A, Nowroozi J: Department of Microbiology, Shaheed Beheshti University of Medical Sciences Abstract: Background: Urinary calculi comprise one of the major and widespread problems in the urinary tract. Various factors play a role in the formati...

متن کامل

بررسی رابطه باکتری‌های شایع در عفونت ادراری با سنگ ادراری در بیمارستان لبافی نژاد در سال 1383

Background: Urinary calculi comprise one of the major and widespread problems in the urinary tract. Various factors play a role in the formation of urinary stones including nutrition, weather, sex, genes, and urease producing bacteria. The incidence of urinary stones in different societies ranges from 3 to 4 percent. This survey was done in 2004 on 100 patients presenting with urinary calculi ...

متن کامل

How Pilots Represent Risk

Pilots are front-line operators in a system, civil aviation, which is inherently risky. For good reasons, much effort has been devoted to the tasks of creating objective measures of risk and of devising systems of risk management in aviation as well as other process industries. It is commonly assumed that risk perception and risk management are elements of pilot decision making. But what do we ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • The Journal of urology

دوره 168 4 Pt 1  شماره 

صفحات  -

تاریخ انتشار 2002