Older Individuals Have Atypical Stone Presentation

Surgical intervention more likely to be required with older patients

WEDNESDAY, Jan. 16 (HealthDay News) -- 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, urinary tract infections, and bacteremia. Patient age did not affect stone size and location. Younger age was significantly associated with calcium phosphate 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 comorbid conditions such as urinary tract infections and diarrhea," the authors write.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

Featured Jobs



Benefits of Membership

FREE E-Newsletters
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues

CESaver
Join our CESaver program to earn up to 100 contact hours for only $34.95
Register Now

Lippincott's NursingCenter.com
Explore a world of online resources

Become a Member