Erschienen in:
01.08.2011 | Letter to the Editor
Cystone in cystine stone formers
verfasst von:
Pralhad Sadashiv Patki
Erschienen in:
Urolithiasis
|
Ausgabe 4/2011
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Excerpt
This is in response to a trial conducted by Dr. Erickson at Mayo Clinic in a paper titled “Cystone for one year did not change urine chemistry or decrease stone burden in cystine stone formers” [
1]. This paper describes the results of clinical evaluation of Cystone in 10 patients. One of the important shortcomings of the study is inclusion of patients with cystine stones of long-standing duration, and probably had undergone every possible treatment. The authors mention that these were refractory patients particularly difficult to treat. When these patients did not respond to medical treatment for sufficient duration, it may not be appropriate to include them in this type of study. It is almost impossible to dislodge an impacted stone with medication and invariably requires surgical intervention. …