Urinary Calculus in Multiple System Atrophy

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  • 多系統萎縮症における尿路結石の検討
  • タケイトウ イシュクショウ ニ オケル ニョウロ ケッセキ ノ ケントウ

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Urinary calculuses complicating cases of multiple system atrophy (MSA) were reviewed in 21 patients in our study. The urinary calculuses were found in 14 cases, 11 of which had a long history of bladder catheterization.<br>Most of the urinary calculuses were infection stones, and the formation of the calculus seems to be based on chronic urinary infection complicated by long-term catheterization. In addition, outbreak of bladder cancer was accepted in one case. The cancer was pathologically diagnosed as squamous cell carcinoma that frequently occurs in neurogenic bladder patients with bladder catheterization. Therefore, catheterization for MSA patients should not be continued without good reason, especially with neurogenic bladder. Other methods such as intermittent urine withdrawal warrant consideration.

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