The clinical implications of brushite calculi.
The clinical history of 30 patients with a total of 46 proved brushite urinary calculi was reviewed. The patients were active metabolically with 87% having a history of multiple calculi. Of the brushite stones 61% appeared hyperdense on x-ray but they had no consistent shape. Of the patients who were metabolically evaluated 82% had treatable abnormalities. Treatment with percutaneous nephrostolithotomy or ureteroscopy and ureteral lithotripsy was 92% successful in rendering the patient stone-free, whereas, extracorporeal shock wave lithotripsy monotherapy resulted in a stone-free rate of only 11%. Brushite stone patients require aggressive treatment, full metabolic evaluation and close clinical followup.
Klee
L W
LW
Department of Urology, Indiana University School of Medicine, Indianapolis.
Brito
C G
CG
Lingeman
J E
JE
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002130:Calcium Phosphates; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014545:Urinary Calculi / Q000737:chemistry / Q000000981:diagnostic imaging / Q000628:therapy*; D014567:Urography
D002130:Calcium Phosphates; C494366:calcium phosphate, dibasic, dihydrate