Older individuals have atypical stone presentation

Older individuals have atypical stone presentation
Older individuals are more likely to have atypical presentation with urolithiasis, according to a study published in the January issue of The Journal of Urology.

(HealthDay)—Older individuals are more likely to have atypical presentation with urolithiasis, according to a study published in the January issue of The Journal of Urology.

Amy E. Krambeck, M.D., from the Mayo Clinic in Rochester, Minn., and colleagues studied a random sample of Olmsted County, Minn., residents with their first diagnostic code for urolithiasis (1984 to 2003). Symptomatic stone formers (1,590 patients) were validated with imaging or stone passage.

The researchers found that older individuals were significantly more likely to present with atypical or no pain, fever, diarrhea, pyuria, , and bacteremia. Patient age did not affect stone size and location. Younger age was significantly associated with stone disease, while uric acid stone and atypical stone composition was significantly associated with older age. Surgical intervention was significantly more likely among older individuals, who were less likely to pass the stone spontaneously. Nearly one-third of individuals (516) required surgical intervention. Ureteroscopy was more likely in younger individuals, while older individuals were more likely to undergo shock wave lithotripsy, temporizing stent placement, and percutaneous nephrolithotomy.

"The detection of stone disease in older individuals can be challenging due to atypical pain or absence of pain, as well as the presence of other such as urinary tract infections and diarrhea," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Factors ID'd for outcome of percutaneous nephrolithotomy

date Jul 03, 2012

(HealthDay) -- Single-tract percutaneous nephrolithotomy (sPCNL) is effective for clearing renal stones, with stone size, location, and prior shockwave lithotripsy (SWL) identified as independent predictors ...

Lemonade can help prevent kidney stones

date Apr 22, 2010

(PhysOrg.com) -- We've all heard the expression, "when life gives you lemons, make lemonade." Passing a kidney stone would qualify for one of life's "lemons," but did you know that drinking lemonade has been shown to prevent ...

Recommended for you

Third day with no new MERS cases in S. Korea

date 1 hour ago

South Korea said Tuesday it had gone three days without any new cases of the deadly MERS virus, in a welcome boost to efforts to tackle the largest outbreak outside Saudi Arabia.

First-ever possible treatments for MERS

date 12 hours ago

As the South Korean epidemic of Middle East Respiratory Syndrome (MERS) continues unabated, researchers have raced to find treatments for the deadly virus, which has killed more than 400 people since it was ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.