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Stones: Lower Urinary Tract Calculi
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=== Primary bladder calculi === * '''<span style="color:#ff0000">Bladder stones that develop in the absence of any known functional, anatomic, or infectious factors</span>''' * Epidemiology ** 9-33 times more common in boys * '''Pathogenesis''' ** '''<span style="color:#ff0000">More common in children exposed to low-protein, low-phosphate diets</span>''' *** '''Lack of protein leads to a dietary phosphate deficiency, low urinary phosphate, and high levels of urinary ammonia. Due to this,''' '''<span style="color:#ff0000">the most common stone found in children from these areas is ammonium acid urate</span>''' ** Generally not associated with anatomic, functional, or infectious abnormalities. * '''Generally, a solitary stone''' * '''Management''' ** '''Prevention consists mostly of dietary modification''' ** '''Rarely recur after treatment'''
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