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)

add to favorites email to friend print save as pdf

Related Stories

Factors ID'd for outcome of percutaneous nephrolithotomy

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

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

Two US states order tough Ebola quarantine rules

10 hours ago

New York and New Jersey on Friday ordered a mandatory quarantine for medics who treated victims of Ebola in West Africa, after the deadly virus spread to America's largest city.

NY and NJ say they will require Ebola quarantines

Oct 24, 2014

The governors of New Jersey and New York on Friday ordered a mandatory, 21-day quarantine for all doctors and other arriving travelers who have had contact with Ebola victims in West Africa.

User comments