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WCE 2011 - Targeted intervention versus conservative intervention for the prevention of kidney stone recurrence - Session Highlights

KYOTO, JAPAN (UroToday.com) - In a retrospective study by Chew and colleagues, conservative advice, consisting of increasing fluid intake, limiting protein, sodium and oxalate, and moderate calcium intake was compared to individualized therapy based on two 24-hour urines in 98 patients (MP05-06).

They found that there was no difference in urinary oxalate, calcium or citrate between the 2 groups after dietary modifications. Interestingly, urinary sodium (p=0.014) and uric acid (p<0.001) increased in the targeted treatment group. There was also no difference in recurrent stone formation during follow-up (mean follow-up 6.8 months). However, the short follow-up period and the retrospective nature of the study makes it difficult to draw firm conclusions as to whether generalized conservative therapy is as efficacious to individualized therapy.

 

Presented by Ben H. Chew at the 29th World Congress of Endourology & SWL (WCE) - November 30 - December 3, 2011 - Kyoto International Conference Center - Kyoto, Japan


Reported for UroToday by Joseph Graversen, MD, Fellow Minimally Invasive Surgery and Endourology, University of California-Irvine Medical Center, Irvine, CA


 

The opinions expressed in this article are those of the UroToday.com Contributing Medical Editor and do not necessarily reflect the viewpoints of the Endourological Society.


 



 

 



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