Chemical compositions of 300 lower urinary tract calculi and associated disorders in the urinary tract

Urol Int. 1995;54(2):89-94. doi: 10.1159/000282696.

Abstract

The stones removed from 273 patients (220 males, 53 females) with bladder stones and 27 patients with urethral stones (males) were analyzed by infrared spectroscopy. Of these stones 50.0% contained magnesium ammonium phosphate (MAP), 39.9% calcium (oxalate and/or phosphate), 9.4% uric acid (urate), and 0.7% cystine. The disorders associated with bladder stones were prostatic hyperplasia and cancer (47.8%), neurogenic bladder (11.8%), urethral stricture (3.6%) and so on in males, and neurogenic bladder (48.1%), after operation of uterus (29.0%), bladder cancer (5.7%) and so on in females. Urinary infections were complications in 59.3% of patients with MAP stones, 41.2% with urate stones and 20.0% with calcium stones. The most often isolated bacteria from the infected urine were of the Proteus species.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Bacteriuria / complications
  • Bacteriuria / microbiology
  • Calcium Oxalate / analysis
  • Calcium Phosphates / analysis
  • Chi-Square Distribution
  • Child
  • Child, Preschool
  • Cystine / analysis
  • Female
  • Humans
  • Magnesium Compounds / analysis
  • Male
  • Middle Aged
  • Phosphates / analysis
  • Prostatic Hyperplasia / complications
  • Spectrophotometry, Infrared
  • Struvite
  • Urethral Diseases / complications
  • Urethral Diseases / metabolism
  • Uric Acid / analysis
  • Urinary Bladder Calculi / chemistry
  • Urinary Bladder Calculi / complications
  • Urinary Bladder, Neurogenic / complications
  • Urinary Calculi / chemistry*
  • Urinary Calculi / complications
  • Urinary Tract Infections / complications
  • Urologic Diseases / complications*

Substances

  • Calcium Phosphates
  • Magnesium Compounds
  • Phosphates
  • alpha-tricalcium phosphate
  • tetracalcium phosphate
  • Calcium Oxalate
  • Uric Acid
  • Cystine
  • calcium phosphate, monobasic, anhydrous
  • calcium phosphate
  • Struvite
  • calcium phosphate, dibasic, anhydrous