AUA 2017: Stone Disease: Epidemiology & Evaluation I
In order to assess this hypothesis, authors performed a retrospective analysis of 99 kidney stone formers who had abdominal computer tomography (CT) imaging and 24-hour urine studies at a single institution. For each patient, a single axial area measurement was obtained at L3-4 in females and L2-3 in males for visceral fat area (VFA) and subcutaneous fat area (SFA). Patient demographics, serum chemistry, 24-hour urine parameters and stone composition were collected for each patient.
Authors reported that KSF warrant screening to visceral obesity and VFA can be assessed efficiently on non-contrast CT imaging already obtained for the diagnosis of nephrolithiasis. High urinary sodium and low protein were associated with uric acid stone formation. CT based diagnosis of visceral obesity can direct which patients may benefit from alkali therapy to treat calculi with dissolution or decrease in size.
Authors: Nishant D Patel MD*, Ryan Ward MD, Juan Calle MD, Erick Remer MD, Manoj Monga MD
Affiliation: Cleveland Clinic, Cleveland, OH
Written By: Zhamshid Okhunov, MD, Department of Urology, University of California, Irvine
at the 2017 AUA Annual Meeting - May 12 - 16, 2017 – Boston, Massachusetts, USA