SURGICAL REMOVAL OF URINARY STONES DUE TO PRIMARY OXALURIA TYPE-I IS SAFE WHEN COMBINED WITH HYPERHYDRATION

Surgical removal of urinary stones in patients with primary oxaluria T ype I has been reported to cause renal function deterioration. A case treated by two open surgical procedures after failure of extracorporea l shock wave lithotripsy is reported. Magnesium, bicarbonates, and lar ge amounts of fluids were given during the procedures. There was no ch ange in renal function. Hyperhydration with magnesium and bicarbonate supplementation may protect patients with primary oxaluria Type I from renal function deterioration due to surgical removal of urinary stone s.