Kidney Stones

What are kidney stones?

Kidney stones or renal calculi (also known as lithiasis) are hard deposits made of minerals and salts, formed inside the kidneys. It is a very frequent urological disease, since the estimated incidence in Europe and developed countries is 0.5 - 1%, with a prevalence of 5 - 10%. In Spain, the annual incidence is 0.7%, with a prevalence of 4.5% (4.8% in men and 3.8% in women) and a peak of maximum frequency between the third and fifth decade of life.

Kidney stones can affect any part of the urinary tract, from the kidneys to the bladder. In general, they are formed when urine becomes concentrated, allowing minerals to crystallize and bind together. This pathology usually manifests itself in the form of repeated attacks of renal colic and generates a high number of medical consultations and hospital admissions.

Types of kidney stones

Knowing what type of kidney stone or kidney stone patients have helps to find out its cause, as well as giving a clue to reduce its formation. The types of kidney stones are:

Calcium oxalate stones: the most common stones (70-80% of all stones) are calcium oxalate stones. Oxalate is a substance produced by the liver on a daily basis or obtained from certain foods such as broad-leaved vegetables (chard or spinach), nuts, strawberries or pure chocolate. Diet, high doses of vitamin D and metabolic disorders are factors that can increase the concentration of oxalate in the urine.
Uric acid stones: Uric acid stones comprise 10% of cases. They can form in people who eat a diet rich in protein and in those with diabetes or metabolic syndrome.
Struvite stones: Struvite stones (4% of cases) form from urinary tract infections. They are stones that can grow very large and obstruct the kidney, ureters or bladder.
Cystine stones: this is a very specific type of stones, with a very small percentage (less than 1%), which are associated with cystine, a hereditary disease that has an autosomal recessive inheritance.

Complications

In the long term, kidney or urinary tract stones can lead to various complications:

Acute renal failure: when they cause obstruction, the clinical picture is severe and may lead to acute renal failure, requiring early attention.
Chronic renal failure: when they appear repeatedly or are caused by genetic factors, they can lead to chronic renal failure.
Loss of renal function: they can generate loss of renal function, especially when repeated or prolonged episodes of obstruction and infection occur, isolated or combined, sometimes leading to irrecoverable deterioration of the affected renal units.

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Kidney Stones

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Kidney Stones

They ask us

in the Consultation

How is the postoperative period after an operation to treat lithiasis?

The postoperative period will depend on the type of intervention performed. If it has been treated with lithotripsy, the patient will not need hospitalization, since it is an outpatient procedure. However, if endoscopic surgery was performed, the patient is usually hospitalized for at least one day with a double J catheter in place to protect the kidney.

What are the side effects of the double J catheter?

The double J catheter presents a series of side effects such as discomfort and irritation caused by the end of the catheter inside the bladder. In order to minimize them, in addition to medical treatment, we try to keep the catheter as short as possible.

How long do I have to have the double J catheter in place?

The length of time a person will need to wear a double J catheter will depend on the complexity of the procedure. Typically, after ureteroscopic surgery or retrograde intrarenal surgery, the time ranges from one week to 10 days. However, if the surgery is more complex, it may be necessary to wear the catheter for about 15 days, and this period may be extended to 21 days.

What activities can or cannot be done while wearing a double J catheter?

A person with a double J catheter can lead a more or less normal life as long as the catheter allows. It is recommended to drink plenty of water or fluids and avoid holding the urge to urinate too much. As far as work is concerned, a double J catheter does not prevent you from working, as long as the work is not excessively physical. There would be no inconvenience in exercising, but it could have a series of consequences associated with it, such as blood with urine.

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