[Features of urolithiasis in patients of advanced and senile age.]

ABSTRACT

There were 105 patients of different gender of elderly and senile age with urolithiasis. The entire contingent of patients with ICD was divided into 2 groups the main group (55 people aged 61-85 years) and the comparison group (50 people aged 40-60). All patients went throught a general clinical examination a detailed history of the anamnesis, an objective examination, laboratory and instrumental methods of investigation. It was revealed that in patients of elderly and senile age the clinical picture is more worn out, the renal colic is less often registered; more significant metabolic disorders that can participate in stone formation. Among the concomitant pathology in patients of this age category, a special role is assigned to hypertension, diabetes, gout, chronic pyelonephritis and benign prostatic hyperplasia. According to the data of echographic and X-ray studies of these patient groups, it is noted that in patients aged 61-85 years, the calculi of the kidneys reach large sizes in comparison with patients 40-60 years old, and the main localization of stones in the ureter is its lower third.