Epidemiology of urolithiasis and pilot study results concerning the use of extracorporeal shock wave lithotripsy

I.V. Zubkov¹, V.Kh. Biteev¹, P.N. Korotaev², Yu.V. Goloviznin², Ya.A. Ivina², A.A. Shevchenko¹

¹Kirov State Medical University, Kirov

²Clinical Hospital «Russian Railways-Medicine of the city of Kirov», Kirov

Urolithiasis is a chronic systemic disease resulting from metabolic disorders and/or the influence of environmental factors, which is manifested by the stone formation in the upper urinary tract. Urolithiasis has a high tendency to relapse, despite the significant development of therapy technologies. There is also the possibility of a substantial increase in the risks of morbidity and disability in professional groups, for instance, in the group of railway workers. Given the peculiarities and severity of labor in railway transport, the detection of kidney stones in workers directly related to the train movement (engine drivers, assistant engine drivers, etc.) is the basis for their suspension from work. The authors presented their own experience of evaluating the efficacy and safety of extracorpor eal shock wave lithotripsy in the treatment of patients (railway workers diagnosed with urolithiasis). A total of 26 patients of both sexes aged 30 to 62 years were treated (mean age — 41 years). The most common were lesions of the upper calyx (34.6%) and single calculi (60–66.7%) with an average size of 4 mm. The surgery duration averaged 50 minutes, and the number of hospital bed days averaged 5. The patients share who had intraoperative and postoperative complications was 7.7% and 11.5%, respectively. Open clinical study results concerning the use of extracorporeal shock wave lithotripsy in the treatment of patients diagnosed with urolithiasis demonstrated a low level of complications and sufficient method efficacy.

Keywords: nephrolithiasis, urolithiasis, intraoperative complications, postoperative complications, extracorporeal shock wave lithotripsy, lithotripsy.

For citation: Zubkov I.V., Biteev V.Kh., Korotaev P.N. et al. Epidemiology of urolithiasis and pilot study results concerning the use of extracorporeal shock wave lithotripsy. RMJ. 2021;8:7–10.