Peculiarities of course of the urolithiasis disease in patients with a solitary kidney and concomitant diabetes mellitus type II
Objective. To analyze the cases histories of urolithiasis disease and its course peculiarities in patients with a solitary kidney, unilateral urolithiasis and concomitant diabetes mellitus type II.
Маterials and methods. Retrospective analysis of the cases histories was conducted in 109 patients, suffering urolithiasis disease with concomitant diabetes mellitus type II, of them in 31 patients a solitary kidney was present (Group I), in 78 - unilateral nephrolithiasis (Group II).
Results. There was established, that even in adequately corrected hyperglycemia in the patients, having a solitary kidney, the risk for unfavorable course of urolithiasis disease and diabetes mellitus type II is higher, than in patients, having both functioning kidneys. The majority of patients, having a solitary kidney, owe the lowered velocity indices of glomerular filtration and glomerular hyperfiltration, proteinuria and arterial hypertension, what, even in presence of diabetes mellitus with the middle severity course, constitutes a high risk for rapid lowering of renal function.
Conclusion. In the urolithiasis disease in the patients with a solitary kidney and concomitant diabetes mellitus type II there have an objectively proven risk for progressing of chronic renal disease. The necessity for the multidisciplinary approach realization of the urologists and endocrinologists activities in determination of personified schemes of treatment in these patients is substantiated.
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