Skip to main content Accessibility help
×
Hostname: page-component-8448b6f56d-tj2md Total loading time: 0 Render date: 2024-04-24T08:16:15.967Z Has data issue: false hasContentIssue false

VIII.154 - Urolithiasis (Renal and Urinary Bladder Stone Disease)

from Part VIII - Major Human Diseases Past and Present

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
Get access

Summary

The major forms of urolithiasis consist of either upper tract stones within the kidneys or ureters (renal stones) or lower tract stones formed within the bladder. These two forms of urolithiasis have distinct differences in etiology, chemical composition, and epidemiological features, and should therefore be considered two separate diseases.

Historical evidence has shown a striking increase in incidence of renal stone disease in more developed countries over the past 100 years. There has been a simultaneous decrease in bladder stone incidence, demonstrating an inverse relationship between the two disorders. Changes in the environment have a profound effect on the epidemiology of human diseases. An unusual example of this interplay is the role of dietary change in the shifting epidemiological pattern from bladder stone to renal stone disease.

Etiology

The large majority of bladder stones occur in young boys from rural or impoverished areas. In these regions, the disorder is known as endemic bladder stone disease. Information from both historical and experimental sources points to a nutritional deficiency during infancy or possibly in utero as the major factor in endemic bladder stone formation. Other less common causes of bladder stone are schistosomiasis (producing bladder wall thickening, stricture, and outlet obstruction) as well as obstruction in elderly males from benign prostatic hypertrophy.

Although deficiencies of vitamin A, vitamin B6, or magnesium have been suggested in endemic bladder stone disease, low intake of animal protein in combination with high intake of grain carbohydrate is more important. Indeed, it seems that whereas low animal protein intake in infancy may cause bladder stone, a high animal protein diet provokes renal stones (Robertson 1978).

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anderson, D. A. 1962. The nutritional significance of primary bladder stones. British Journal of Urology 34.Google Scholar
Anderson, D. A. 1969. Historical and geographical differences in the pattern of incidence of urinary stones considered in relation to possible etiological factors. In Renal stone research symposium, ed. Hodgkinson, A. and Nordin, B. C.. London.Google Scholar
Anderson, D. A. 1972. Environmental factors in the etiology of urolithiasis. In Urinary calculi: International symposium on renal stone research. Madrid.Google Scholar
Assendelft, E. 1900. Bericht über 630 stationär behandelte Steinkranke. Archiv für Klinische Chirurgie 60.Google Scholar
Batty Shaw, A. 1970. The Norwich School of lithotomy. Medical History 14.Google Scholar
Batty Shaw, A. 1979. East Anglian bladder stone. Journal of the Royal Society of Medicine 72.Google Scholar
Bitschai, J. 1951. Calculosis of the urinary tract in Egypt. Journal of the Mount Sinai Hospital 17.Google ScholarPubMed
Bitschai, J. 1952. The history of urology in Egypt. American Journal of Surgery 83.CrossRefGoogle ScholarPubMed
Brown, R. K., and Brown, E. C.. 1941. Urinary stones: A study of their etiology in small children in Syria. Surgery 9.Google Scholar
Eckstein, H. B. 1961. Endemic urinary lithiasis in Turkish children. Archives of Disease in Children 36.CrossRefGoogle ScholarPubMed
Ellis, H. 1970. A history of bladder stone. Oxford.Google Scholar
Halstead, S. B. 1961. Bladder stone in Thailand: A review of the problem. American Journal of Tropical Medicine and Hygiene 10.CrossRefGoogle Scholar
Halstead, S. B., and Valyasevi, A.. 1967. Studies of bladder stone disease in Thailand: Epidemiologic studies in Ubol province. American Journal of Clinical Nutrition 20.CrossRefGoogle ScholarPubMed
Halstead, S. B., Valyasevi, A., and Umpoaivit, P.. 1967. Studies of bladder stone disease in Thailand: Dietary habits and disease prevalence. American Journal of Clinical Nutrition 20.CrossRefGoogle ScholarPubMed
Heyadat, S., and Amirshahy, P.. 1970. Urinary lithiasis in Iran. Tropical and Geographical Medicine 22.Google Scholar
Lonsdale, K. 1968. Human stones. Science 159.CrossRefGoogle ScholarPubMed
Lonsdale, K., and Mason, P.. 1966. Uric acid, uric acid dihydrate, and urates in urinary calculi, ancient and modern. Science 152.CrossRefGoogle ScholarPubMed
Loutfi, A., Reen, R., and Abdel-Hamid, G.. 1974. Studies on bladder stone disease in Egyptian children. Journal of the Egyptian Medical Association 57.Google ScholarPubMed
Lu, G. D., and Needham, J.. 1967. Records of diseases in ancient China. In Diseases in antiquity, ed. Brothwell, D. R. and Sandison, A. T.. Springfield, Ill.Google Scholar
Madden, F. C. 1913. The incidence of stone in Egypt. Lancet 2.Google Scholar
McCarrison, R. 1931. The causation of stone in India. British Medical Journal i.Google Scholar
Modlin, M. 1967. The etiology of renal stone. Annals of the Royal College of Surgeons 40.Google ScholarPubMed
Prien, E. L. 1971. The riddle of urinary stone disease. Journal of the American Medical Association 216.Google ScholarPubMed
Racic, J. 1935. Calculus of the bladder in Dalmatia. Urologic and Cutaneous Review 39.Google Scholar
Robertson, W. G. 1978. Risk factors in calcium stone disease of the upper urinary tract. British Journal of Urology 50.CrossRefGoogle Scholar
Robertson, W. G., et al. 1979. The effect of high animal protein intake on the risk of calcium stone formation in the urinary tract. Clinical Science 52.Google Scholar
Stark, H. 1970. Childhood urolithiasis in northern Israel. Israel Journal of Medical Science 6.Google ScholarPubMed
Steinbock, R. T. 1985. The history, epidemiology, and paleopathology of kidney and bladder stone disease. In Health and disease in the prehistoric southwest, ed. Merbs, C. F. and Miller, R. J.. Tempe, Ariz.Google Scholar
Thomas, J. M. R. 1949. Vesical calculus in Norfolk. British Journal of Urology 21.CrossRefGoogle ScholarPubMed
Thompson, R. C. 1934. Assyrian prescriptions for diseases of urine. Babyloniaca 14.Google Scholar
Thomson, J. O. 1921. Urinary calculi at Canton Hospital, China. Surgery 32.Google Scholar
Valyasevi, A., and Dhanamitta, A.. 1968. Current research on pediatric bladder stone disease in Thailand. Journal of Vitaminology 14.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×