Metaphylaxy in urinary stones patients

Current status: The recurrence of urinary stones is common, according to research results. Prevention of urolithiasis, especially of recurrent cases, is essential. Information about the disease, causes of urolithiasis and preventive regime are the basic principles. The patient should not only be informed about drinking and dietary regime after removal of the stone, but he should be motivated to fulfil these recommendations. Metaphylaxy is complex treatment regime; aim of whist is prevention of stone recurrence Methods: The research part was based on quantitative survey. Questionnaire, consisting of 22 questions, was used for survey.. The survey was performed at the Department of Urology, Region Hospital Ceske Budejovice since January 2011 till December 2013. Patients, where first stone was diagnosed, were involved. SPSS programme was used to evaluate results of quantitative survey. Medical recodes was used for secondary analysis of data of primary stone patients treated at the Department of Urology, Region Hospital Ceske Budejovice since 2009 till 2013. Microsoft Office Excel 2007 and SPSS programme was used for statistical analysis. The hypotheses were tested by using of Chí quadrat test. Patients: The patients with primary urinary tract stones, diagnosed in 2012 and 2013, were selected for survey. There were included 184 patients in 2012 and 102 patients in 2013. 150 patients had been addressed by questionnaire and 123 patients responded. The secondary analysis of data of patients treated for primary urinary stones at the Department of Urology, Region Hospital Ceske Budejovice since 2009 till 2013, was performed on 644 patients. Results: 644 patients were found as patients treated for primary stone at the Department of Urology, Region Hospital Ceske Budejovice since 2009 till 2013. This is in concordance with research goal: "Find, how many urinary stones patients were diagnosed at the Department of Urology, Region Hospital Ceske Budejovice since 2009 till 2013". The second research goal was: "Identify differences in dietary habits in urinary stones patients." There was fund a difference in meat intake between men and women. Decreasing trend in meat intake according to age was found, too. No difference in sugar intake was found intake between men and women. The third research goal was: " Identify the fluid intake in in urinary stones patients." There was found average fluid intake per day of 1 922 ml in women and 2 127 ml in men. The last research goal was: " Identify willingness of the patients to change their drinking and dietary regime." The willingness to to change drinking and dietary regime is affected by age of the patient, profession, way of stone removal and quality of information about to change their drinking and dietary regime. Conclusions: The drinking and dietary regime, in context with life style information, is basic for prevention of urinary stones. Fluid intake, dietary habits, physical activity, weight reduction, stress release are essential factors. The motivation, including clear and detailed information of the patient is important for compliance. The results of the theses will be offered for publishing in peer reviewed journal Urologie pro praxi