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Books > Medicine > Clinical & internal medicine > Urology & urogenital medicine
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The Management of Lithiasis - The Rational Deployment of Technology (Paperback, Softcover reprint of the original 1st ed. 1997)
Loot Price: R1,545
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The Management of Lithiasis - The Rational Deployment of Technology (Paperback, Softcover reprint of the original 1st ed. 1997)
Series: Developments in Nephrology, 38
Expected to ship within 10 - 15 working days
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The last twenty years has seen the biggest revolution in the
treatment of renal tract stone that has ever been experienced in
the history of urolithiasis. The treatment of upper tract renal
stone has progressed from the days of a very traumatic and morbid
procedure to the relatively innocuous, walk in/walk out therapy of
extracorporeal lithotripsy. This progression of events has resulted
in a complete reappraisal of management of all types of urinary
calculi. From an initial reluctance to treat many stones because of
the trauma involved, we have now passed to a situation where
smaller and asympto matic stones may be pre-emptively treated
before the treatment of serious clinical problems. It is true to
say that in Westemized societies the problem of urolithiasis has
almost completely been solved by the advent of advanced technology.
In this volume, attention is drawn to the fact that there are still
persistent difficulties in treating urolithiasis in the less
developed and less affluent societies. The differences in
epidemiology of urolithiasis in various areas of the world are
highlighted, noting a rapid decrease in the incidence of bladder
calculi in impover ished areas where affluence increases. Coupled
with this progression of affluence however is the well documented
increase in the incidence of upper tract renal stones of oxalate
nature. This scenario has been almost universal across all coun
tries in the last few decades.
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