Pharmacologic treatment of kidney stones: Current medication and pH monitoring.

Calcium oxalate Cistina Cystine Estruvita Manejo farmacológico Manejo médico Medical management Monitorización del pH Nefrolitiasis Nephrolithiasis Oxalato cálcico Pharmacological management Struvite Uric acid pH monitoring Ácido úrico

Journal

Actas urologicas espanolas
ISSN: 2173-5786
Titre abrégé: Actas Urol Esp (Engl Ed)
Pays: Spain
ID NLM: 101771154

Informations de publication

Date de publication:
01 Dec 2023
Historique:
received: 16 10 2023
accepted: 20 11 2023
pubmed: 4 12 2023
medline: 4 12 2023
entrez: 3 12 2023
Statut: aheadofprint

Résumé

Nephrolithiasis is a globally prevalent urologic condition associated with significant morbidity and patient discomfort. Current management of kidney stones includes both surgical and pharmacologic interventions. Though surgery may be necessary under certain circumstances, pharmacologic treatment is a more affordable, readily available, and a less invasive option for patients. A comprehensive scoping review was conducted to summarize the available literature on the pharmacologic strategies for managing the predominant stone types including calcium oxalate, calcium phosphate, uric acid, struvite, and cystine stones. Central to these therapeutic approaches is the regulation of factors such as urine pH, stone crystallization, and patient metabolics that precipitate stone development and growth. This review highlights the pharmacological options available for treating each kidney stone type, emphasizing the importance of patient tailored medical management that should be considered by every physician.

Identifiants

pubmed: 38043680
pii: S2173-5786(23)00136-1
doi: 10.1016/j.acuroe.2023.11.008
pii:
doi:

Types de publication

Journal Article Review

Langues

eng spa

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 The Author(s). Published by Elsevier España, S.L.U. All rights reserved.

Auteurs

M Segall (M)

Escuela de Medicina Albert Einstein, Bronx, NY, USA.

A Mousavi (A)

Departamento de Urología, Escuela de Medicina David Geffen, Universidad de California, Los Ángeles, CA, USA.

B H Eisner (BH)

Servicio de Urología, Hospital General de Massachusetts, Boston, MA, USA.

K Scotland (K)

Departamento de Urología, Escuela de Medicina David Geffen, Universidad de California, Los Ángeles, CA, USA. Electronic address: scotland.kb@gmail.com.

Classifications MeSH