Therapeutic Efficacy of Potassium Citrate for Treating Less Than 10-Millimeter Renal Stones
Journal Title: Translational Research in Urology - Year 2021, Vol 3, Issue 3
Abstract
Introduction: To assess the therapeutic efficacy of potassium citrate in the nonsurgical management of renal stones we run this research. The prophylactic effects of Potassium Citrate over renal stone formation have been established but there is still a gap in its therapeutic effect. Methods: A written informed consent was given to the patients who fulfilled the inclusion criteria and were interested in participation. Eventually 56 patients (Mean age= 43.7 ± 10.8) from June 2018 to December 2018 with a total of 86 renal stones enrolled in the study and treated with potassium citrate (10 mEq Alithoral, Nooria Darman Pasargad, tablets, three times a day). Moreover, the patients were recommended to reduce sodium intake as well as oxalate-rich foods, have at least 2 liters of water per day and normalize calcium intake. Finally, they were assessed 8 weeks after the treatment initiation, while in those whose stones remained, the assessments were repeated for another 8-week. Results: Based on our findings, 42 and 25 stones were completely dissolved at the first and second visit, respectively. Compared to the baseline parameters, the mean size of stones in the largest diameter decreased significantly from 5.13 to 1.96 mm and 5.13 to 0.79 mm (p-value<0.001) at the first and second visit, respectively. Conclusion: Potassium citrate plays a crucial role in pulverizing and also reduction of the dimensions of the renal stone. Therefore, apart from the prevention of renal stones recurrence, potassium citrate can be used in favor of treating renal stones.
Authors and Affiliations
Fateme Guitynavard; Seyed Saeed Tamehri Zadeh; Mahin Ahmadi Pishkuhi; Sepideh Ebrahimi; Alireza Namazi Shabestari
Urolithiasis in Renal Transplantation Patients: An Update of the Literature
Urolithiasis is rare in renal transplant patients (<1%). The reasons are multifactorial such as metabolic, medications, and recurrent urinary tract infections. The stones are usually found incidentally on imaging; 50% of...
Leydig Cell Tumor in Children: a Case Report and Literature Review
Introduction Leydig cell tumors (LCTs) comprising of 1 to 3 percent of testicular cancers in children, one of the single most common symptoms in prepubertal patients is painless testicular swelling with or without a sig...
Risk of Inguinal Hernia Formation after Radical Prostatectomy: A Consequence or Coincidence?
The Post-operation complication is one of the causes of inguinal hernias, but the primary aetiology is still unknown. One of the hypotheses for inguinal hernias is after radical prostatectomy. Inguinal hernia is one of t...
Effect of Newly Designed Vacuum Cylinders Along with Mini Massagor on Peyronie Disease at Acute Phase
Introduction: Peyronie's disease (PD) is penile and may present with penile pain curvature, shortening, and plaque in the penis and erectile dysfunction (ED) in some cases. This study assesses the efficacy of vacuum ther...
Therapeutic Efficacy of Potassium Citrate for Treating Less Than 10-Millimeter Renal Stones
Introduction: To assess the therapeutic efficacy of potassium citrate in the nonsurgical management of renal stones we run this research. The prophylactic effects of Potassium Citrate over renal stone formation have been...