Research and Reports in Urology (Apr 2022)
Optimal Delivery of Follow-Up Care for the Prevention of Stone Recurrence in Urolithiasis Patients: Improving Outcomes
Abstract
Lazaros Tzelves, Marinos Berdempes, Panagiotis Mourmouris, Iraklis Mitsogiannis, Andreas Skolarikos Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Athens, GreeceCorrespondence: Andreas Skolarikos, Tel +30 2132058253, Email [email protected]: Urolithiasis is a common clinical condition with frequent recurrences. Advances in knowledge of pathophysiological mechanisms permit the categorization of patients to low and high risk for recurrence, with specific metabolic abnormalities diagnosed in the second category. Follow-up is essential for patients with urolithiasis and consists of both imaging and metabolic follow-up with urine studies. No formal guidelines or solid evidence currently exists regarding frequency and type of follow-up studies to be performed in each category. This review aims to summarize existing evidence regarding follow-up, in order to guide clinicians on how and when to follow-up urolithiasis patients according to existing clinical scenario.Keywords: urolithiasis, imaging follow-up, metabolic follow-up, recurrence