Urinary Calculi in Aviation Pilots: What is the Best Therapeutic Approach?

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Oct 2002Urinary Calculi in Aviation Pilots: What is the Best Therapeutic Approach? Wei Zheng, Darren T. Beiko, Joseph W. Segura, Glenn M. Preminger, David M. Albala, and John D. Denstedt Wei ZhengWei Zheng , Darren T. BeikoDarren T. Beiko , Joseph W. SeguraJoseph W. Segura , Glenn M. PremingerGlenn M. Preminger , David M. AlbalaDavid M. Albala , and John D. DenstedtJohn D. Denstedt View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64444-8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We reviewed treatment outcomes in a series of aviation pilots treated in the era of modern surgical techniques and provide recommendations regarding treatment in this unique group. Materials and Methods: We retrospectively analyzed the records of all aviation pilots surgically treated for urinary calculi at our 4 tertiary stone centers from January 1988 to June 2000. Preoperative data and postoperative results were evaluated. Primary outcome measures included stone-free status after initial therapy, time lost from work and overall stone-free rates. Secondary outcome measures included the need for secondary procedures and complications. Results: Of the 36 patients 17 had renal and 19 had ureteral stones. In 4 patients the stones passed spontaneously, while 17 were initially treated with extracorporeal shock wave lithotripsy (ESWL) (Dornier Medical Systems, Marietta, Georgia), 9 were initially treated with ureteroscopy and 6 were treated with percutaneous nephrolithotripsy. There was 1 complication. The stone-free rate for ESWL, percutaneous nephrolithotripsy and ureteroscopy after initial therapy was 35%, 100% and 100%, respectively. All patients were rendered stone-free after secondary therapy. Mean time lost from work for ESWL, percutaneous nephrolithotripsy and ureteroscopy was 4.7, 2.6 and 1.6 weeks, respectively. Conclusions: Aviation pilots with surgical urolithiasis are best treated with an initial endoscopic procedure. Stone-free rates can be maximized, while time lost from work can be minimized when an endoscopic approach is used initially. All pilots with urolithiasis should undergo mandatory metabolic evaluations to institute medical therapy when indicated. References 1 Guide for Aviation Medical Examiners, Office of Aviation Medicine. Washington, D.C.: U.S. Department of Transporation Federal Aviation Administration, 1999 Google Scholar 2 Aeromedical Certification Statistical Database. 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Medline, Google Scholar From the Division of Urology, University of Western Ontario, London, Ontario, Canada, and Departments of Urology, Mayo Clinic, Rochester, Minnesota, Duke University, Durham, North Carolina, and Loyola University Medical Center, Maywood, Illinois© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited by Geavlete P, Georgescu D, Mulţescu R, Alexandrescu E, Drăguţescu M, Stănescu F, Persu C, Moldoveanu C, Jecu M and Geavlete B (2016) Percutaneous Approach in Renal Lithiasis Percutaneous Surgery of the Upper Urinary Tract, 10.1016/B978-0-12-802404-1.00003-7, (25-103), . Fahmy N and Denstedt J (2013) Patient Selection and Informed Consent Percutaneous Renal Surgery, 10.1002/9781118670903.ch5, (46-58) Giannossi M and Summa V (2013) An Observation on the Composition of Urinary Calculi: Environmental Influence Medical Geochemistry, 10.1007/978-94-007-4372-4_5, (67-90), . 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Volume 168Issue 4 Part 1October 2002Page: 1341-1343 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.KeywordsaviatorsurolithiasislithotripsyMetricsAuthor Information Wei Zheng More articles by this author Darren T. Beiko More articles by this author Joseph W. Segura More articles by this author Glenn M. Preminger More articles by this author David M. Albala More articles by this author John D. Denstedt More articles by this author Expand All Advertisement PDF downloadLoading ...

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