Efficacy of Potassium Sodium Hydrogen Citrate Therapy on Renal Stone Recurrence and/or Residual Fragments After Shockwave Lithotripsy and Percutaneous Nephrolithotomy in Calcium Oxalate Urolithiasis
Study Details
Study Description
Brief Summary
Extracorporeal shock wave lithotripsy (ESWL) and Percutaneous nephrolithotomy (PCNL) become the therapy of choice for renal stone. Although providing good results, stone recurrence is usually found as the therapies do not change the underlying metabolic abnormality. Among the metabolic disorders, hypocitraturia is an important risk factor for calcium nephrolithiasis. This study evaluate the preventive effects of potassium sodium citrate on stone recurrence as well as stone growth post ESWL or PCNL, in patients with calcium-containing stones.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Study Design
Outcome Measures
Primary Outcome Measures
- rate of stone recurrence or stone growth [12 months]
The patients were evaluated at 6 months after the initial treatment for serum chemistry and urinalysis. After 12 months, all patients were evaluated for serum chemistry, urinalysis, 24-hour urine study and plain KUB.
Eligibility Criteria
Criteria
Inclusion Criteria:
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age > 18 years
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stone free or had residual calcium oxalate stone fragments with a less than 4 mm. diameter at eight weeks after ESWL or PCNL
Exclusion Criteria:
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renal tubular obstruction
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serum creatinine > 2 mg/dl
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urinary tract infection (bacteria > 100,000 in urine culture)
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hypersensitive or contraindication to Potassium sodium hydrogen citrate
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insertion Double-J Stent
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history of arrhythmia, myocardial infarction or digitalis administration
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Ouiheng International Healthcare Co., Ltd
- ChaingMai University
- Prince Songkla University
- Chulalongkorn University
- Siriraj Hospital
Investigators
- Principal Investigator: Bannakij Lojanapiwat, MD, Division of Urology, Department of Surgery, Chiangmai University, Thailand
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- UU01/47