Active surveillance for asymptomatic kidney stones

Year 2019, Volume: 43 Issue: 1, 1 - 5, 01.07.2019

Oktay Özman Bülent Önal

Abstract

DOI: 10.26650/cjm.2019.43.3

Despite the advances in the management of
urinary tract stone disease, data on the natural history of stones are
insufficient. Therefore, the aim of this review is to present the natural
history of asymptomatic kidney stones and the results of their active
surveillance in the light of the current studies.Taking into account the
current findings, it can be said that asymptomatic kidney stones transit
spontaneously in 3%–30% of patients, become symptomatic in 12%–50%, and
necessitate active treatment in 10%–26%. Active surveillance may be recommended
in appropriate cases considering the results of prophylactic treatments.

Cite this article as: Özman O, Önal B.
Active Surveillance for Asymptomatic Kidney Stones. Cerrahpasa Med J 2019;
43(1): 1-5.

Keywords

Kidney stone, active surveillance, follow-up, calculi, asymptomatic

Asemptomatik Böbrek Taşlarında Aktif İzlem

Abstract

DOI: 10.26650/cjm.2019.43.3

Üriner sistem taş hastalığı tedavi
yönetimindeki ilerlemelere rağmen taşların doğal seyrine dair yeterince veri
bulunmamaktadır. Bu derlemenin amacı asemptomatik böbrek taşlarının doğal seyri
ve aktif izlemin sonuçlarını güncel çalışmalar ışığında sunmaktır. Mevcut
bulgular ışığında asemptomatik böbrek taşlarının %3-30 spontan olarak düştüğü,
%12-50 semptomatik hale geldiği, semptom ve bulgular ile %10-26 oranında
girişim gerekliliği doğduğu, %21-66 oranında ise taşlarda büyüme gözlendiği
söylenebilir. Profilaktik tedavi yöntemlerinin sonuçları ile
karşılaştırıldığında uygun vakalarda aktif izlem önerilebilir.

Cite this article as: Özman O, Önal B.
Active Surveillance for Asymptomatic Kidney Stones. Cerrahpasa Med J 2019;
43(1): 1-5.

Keywords

Böbrek taşı, aktif izlem, takip, kalkül, asemptomatik

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