Specific features of surgical treatment of urolithiasis in overweight patients

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Abstract

Urolithiasis is a common disease in the population. There is a strong association between urinary stone disease and metabolic syndrome. Components of metabolic syndrome significantly increase the likelihood of developing urolithiasis. The pathophysiologic mechanisms underlying this relationship are reviewed in the article.

The surgical treatment of urolithiasis in overweight patients is challenging. However, due to the development of endourology and improved surgical skills, minimally invasive procedures such as extracorporeal shock-wave lithotripsy, retrograde ureteroscopy, percutaneous nephrolithotomy and retrograde intrarenal surgery have become the main interventions for the treatment of urolithiasis in morbidly obese patients, replacing traditional «open» procedures. The specific features of surgical treatment of urolithiasis in obese patients are described.

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About the authors

S. А. Davlatbiyev

Private Clinical Hospital "Russian Railways - Medicine"

Author for correspondence.
Email: davlatbiev@yandex.ru

Head of the Department of Endoscopic Urology with Extracorporeal Shock-Wave Lithotripsy

Russian Federation, Moscow

Sh. P. Abdullaev

FGBOU DPO RMANPO

Email: luon@mail.ru

Ph.D. student at the Department of Endoscopic Urology 

Russian Federation, Moscow

S.U. U. Dalgatov

Private Clinical Hospital "Russian Railways - Medicine"

Email: dalgatovuro@mail.ru

urologist

Russian Federation, Moscow

М. N. Shatokhin

Private Clinical Hospital "Russian Railways - Medicine"; FGBOU DPO RMANPO

Email: sh.77@mail.ru

Ph.D., MD, Professor, Professor at the Department of Endoscopic Urology

Russian Federation, Moscow; Moscow

G. G. Borisenko

FGBOU DPO RMANPO

Email: gborisenko-doc@mail.ru

Ph.D., Associate Professor, Associate Professor of the Department of Endoscopic Urology

Russian Federation, Moscow

О. V. Theodorovich

Private Clinical Hospital "Russian Railways - Medicine"; FGBOU DPO RMANPO

Email: teoclinic@gmail.com

Ph.D., MD, Professor, Head of the Department of Endoscopic Urology 

Russian Federation, Moscow; Moscow

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