Öz
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.
Anahtar Kelimeler
Kidney stone active surveillance follow-up calculi asymptomatic
Kaynakça
- 1. Mazzuchi E. Opinion: Difference of opinion - Asymptomatic lower pole stone < 1 cm: to treat or not to treat? Opinion: Treat. Int Braz J Urol 2016; 42: 183-4. 2. Stamatelou KK, Francis ME, Jones CA, Nyberg LM, Curhan GC. Time trends in reported prevalence of kidney stones in the United States: 1976-1994. Kidney Int 2003; 63: 1817-23. 3. Boyce CJ, Pickhardt PJ, Lawrence EM, Kim DH, Bruce RJ. Prevalence of Urolithiasis in Asymptomatic Adults: Objective Determination Using Low Dose Noncontrast Computerized Tomography. J Urol 2010; 183: 1017-21. 4. Bansal AD, Hui J, Goldfarb DS. Asymptomatic Nephrolithiasis Detected by Ultrasound. Clin J Am Soc Nephrol 2009; 4: 680-4. 5. Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, et al. EAU Guidelines on Diagnosis and Conservative Management of Urolithiasis. Eur Urol 2016; 69: 468-74. 6. Dropkin BM, Moses RA, Sharma D, Pais VM Jr. The Natural History of Nonobstructing Asymptomatic Renal Stones Managed with Active Surveillance. J Urol 2015; 193: 1265-9. 7. Inci K, Sahin A, Islamoglu E, Eren MT, Bakkaloglu M, Ozen H. Prospective Long-Term Followup of Patients With Asymptomatic Lower Pole Caliceal Stones. J Urol 2007; 177: 2189-92. 8. Glowacki LS, Beecroft ML, Cook RJ, Pahl D, Churchill DN. The Natural History of Asymptomatic Urolithiasis. J Urol 1992; 147: 319-21. 9. Burgher A, Beman M, Holtzman JL, Monga M. Progression of Nephrolithiasis: Long-Term Outcomes with Observation of Asymptomatic Calculi. J Endourol 2004; 18: 534-9. 10. Sener NC, Bas O, Sener E, Zengin K, Ozturk U, Altunkol A, et al. Asymptomatic Lower Pole Small Renal Stones: Shock Wave Lithotripsy, Flexible Ureteroscopy, or Observation? A Prospective Randomized Trial. Urology 85: 33-7. 11. Keeley FX Jr, Tilling K, Elves A, Menezes P, Wills M, Rao N, et al. Preliminary results of a randomized controlled trial of prophylactic shock wave lithotripsy for small asymptomatic renal calyceal stones. BJU Int 2001; 87: 1-8. 12. Seseke S, Rudolph R, Rebmann U. Gibt es den symptomlosen Nierenstein? Aktuelle Urol 2011; 42: 374-7. 13. Kang HW, Lee SK, Kim WT, Kim YJ, Yun SJ, Lee SC, et al. Natural History of Asymptomatic Renal Stones and Prediction of Stone Related Events. J Urol 2013; 189: 1740-6. 14. Yuruk E, Binbay M, Sari E, Akman T, Altinyay E, Baykal M, A Prospective, Randomized Trial of Management for Asymptomatic Lower Pole Calculi. J Urol 2010; 183: 1424-8. 15. Koh LT, Ng FC, Ng KK. Outcomes of long-term follow-up of patients with conservative management of asymptomatic renal calculi. BJU Int 2012; 109: 622-5. 16. Telli O, Hamidi N, Bagci U, Demirbas A, Hascicek AM, Soygur T, et al. What happens to asymptomatic lower pole kidney stones smaller than 10 mm in children during watchful waiting? Pediatr Nephrol 2017; 32: 853-7. 17. Dos Santos J, Lopes RI, Veloso AO, Harvey E, Farhat WA, Papanikolaou F. Outcome Analysis of Asymptomatic Lower Pole Stones in Children. J Urol 2016; 195: 1289-93. 18. Hübner W, Porpaczy P. Porpaczy, Treatment of Caliceal Calculi. Br J Urol 1990; 66: 9-11.
Öz
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.
Anahtar Kelimeler
Kaynakça
- 1. Mazzuchi E. Opinion: Difference of opinion - Asymptomatic lower pole stone < 1 cm: to treat or not to treat? Opinion: Treat. Int Braz J Urol 2016; 42: 183-4. 2. Stamatelou KK, Francis ME, Jones CA, Nyberg LM, Curhan GC. Time trends in reported prevalence of kidney stones in the United States: 1976-1994. Kidney Int 2003; 63: 1817-23. 3. Boyce CJ, Pickhardt PJ, Lawrence EM, Kim DH, Bruce RJ. Prevalence of Urolithiasis in Asymptomatic Adults: Objective Determination Using Low Dose Noncontrast Computerized Tomography. J Urol 2010; 183: 1017-21. 4. Bansal AD, Hui J, Goldfarb DS. Asymptomatic Nephrolithiasis Detected by Ultrasound. Clin J Am Soc Nephrol 2009; 4: 680-4. 5. Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, et al. EAU Guidelines on Diagnosis and Conservative Management of Urolithiasis. Eur Urol 2016; 69: 468-74. 6. Dropkin BM, Moses RA, Sharma D, Pais VM Jr. The Natural History of Nonobstructing Asymptomatic Renal Stones Managed with Active Surveillance. J Urol 2015; 193: 1265-9. 7. Inci K, Sahin A, Islamoglu E, Eren MT, Bakkaloglu M, Ozen H. Prospective Long-Term Followup of Patients With Asymptomatic Lower Pole Caliceal Stones. J Urol 2007; 177: 2189-92. 8. Glowacki LS, Beecroft ML, Cook RJ, Pahl D, Churchill DN. The Natural History of Asymptomatic Urolithiasis. J Urol 1992; 147: 319-21. 9. Burgher A, Beman M, Holtzman JL, Monga M. Progression of Nephrolithiasis: Long-Term Outcomes with Observation of Asymptomatic Calculi. J Endourol 2004; 18: 534-9. 10. Sener NC, Bas O, Sener E, Zengin K, Ozturk U, Altunkol A, et al. Asymptomatic Lower Pole Small Renal Stones: Shock Wave Lithotripsy, Flexible Ureteroscopy, or Observation? A Prospective Randomized Trial. Urology 85: 33-7. 11. Keeley FX Jr, Tilling K, Elves A, Menezes P, Wills M, Rao N, et al. Preliminary results of a randomized controlled trial of prophylactic shock wave lithotripsy for small asymptomatic renal calyceal stones. BJU Int 2001; 87: 1-8. 12. Seseke S, Rudolph R, Rebmann U. Gibt es den symptomlosen Nierenstein? Aktuelle Urol 2011; 42: 374-7. 13. Kang HW, Lee SK, Kim WT, Kim YJ, Yun SJ, Lee SC, et al. Natural History of Asymptomatic Renal Stones and Prediction of Stone Related Events. J Urol 2013; 189: 1740-6. 14. Yuruk E, Binbay M, Sari E, Akman T, Altinyay E, Baykal M, A Prospective, Randomized Trial of Management for Asymptomatic Lower Pole Calculi. J Urol 2010; 183: 1424-8. 15. Koh LT, Ng FC, Ng KK. Outcomes of long-term follow-up of patients with conservative management of asymptomatic renal calculi. BJU Int 2012; 109: 622-5. 16. Telli O, Hamidi N, Bagci U, Demirbas A, Hascicek AM, Soygur T, et al. What happens to asymptomatic lower pole kidney stones smaller than 10 mm in children during watchful waiting? Pediatr Nephrol 2017; 32: 853-7. 17. Dos Santos J, Lopes RI, Veloso AO, Harvey E, Farhat WA, Papanikolaou F. Outcome Analysis of Asymptomatic Lower Pole Stones in Children. J Urol 2016; 195: 1289-93. 18. Hübner W, Porpaczy P. Porpaczy, Treatment of Caliceal Calculi. Br J Urol 1990; 66: 9-11.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Derlemeler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Temmuz 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 43 Sayı: 1 |
