Many patients with asymptomatic renal stones can qualify for an active surveillance program, researchers report at AUA23.
Kevin Stritt, MD, chief resident in the Urology Department at Lausanne University Hospital, said
Of the 403 stones passed spontaneously, 61% were symptomatic stone passages and 39% were asymptomatic stone passages, Stritt toldAsymptomatic stones were a median size of 2.4 mm, and symptomatic stones were 2.15 mm, which was not significantly different , according to the researchers. Stritt said the spontaneous passage of asymptomatic stones was largely influenced by a higher number of stones on CT imaging at randomization and a lower total stone volume .
"Observation should be initially offered to these patients. However, patients should be informed that 52% are likely to develop symptoms, and some may indeed opt for pre-emptive surgical removal," he added.David Schulsinger, MD, an associate professor in the Department of Urology at Stony Brook University Hospital, New York, said the incidence of kidney stones has been increasing worldwide, affecting approximately 12% of men and 6% of women.
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