Title
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
Phase
Phase 4Lead Sponsor
Ouiheng International Healthcare Co., LtdStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Kidney CalculiIntervention/Treatment
sodium citrate ...Study Participants
80Extracorporeal 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.
The treated group was given oral potassium-sodium citrate 81 mEq/day The control group received no treatment
Inclusion Criteria: age > 18 years 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: renal tubular obstruction serum creatinine > 2 mg/dl urinary tract infection (bacteria > 100,000 in urine culture) hypersensitive or contraindication to Potassium sodium hydrogen citrate insertion Double-J Stent history of arrhythmia, myocardial infarction or digitalis administration