{"id":3566,"date":"2024-08-20T14:52:40","date_gmt":"2024-08-20T14:52:40","guid":{"rendered":"https:\/\/www.medinik.de\/ueber-nierensteine\/"},"modified":"2026-02-19T09:03:58","modified_gmt":"2026-02-19T09:03:58","slug":"about-kidney-stones","status":"publish","type":"page","link":"https:\/\/www.medinik.de\/en\/about-kidney-stones\/","title":{"rendered":"About kidney stones"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;off|desktop&#8221; module_class=&#8221;fade-out-section&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;00012f68-7d00-4818-b649-20d75de3265b&#8221; background_image=&#8221;https:\/\/www.medinik.de\/wp-content\/uploads\/2024\/09\/header_ueber_nierensteine_desk_neu-scaled.jpg&#8221; background_position=&#8221;top_center&#8221; background_vertical_offset=&#8221;21%&#8221; height_tablet=&#8221;&#8221; height_phone=&#8221;&#8221; height_last_edited=&#8221;on|tablet&#8221; custom_margin=&#8221;||||false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; background_last_edited=&#8221;on|phone&#8221; background_image_tablet=&#8221;https:\/\/www.medinik.de\/wp-content\/uploads\/2024\/08\/header_ueber_nierensteine_medinik_tab.jpg&#8221; background_image_phone=&#8221;https:\/\/www.medinik.de\/wp-content\/uploads\/2024\/08\/header_ueber_nierensteine_medinik_mob.jpg&#8221; background_enable_image_tablet=&#8221;on&#8221; background_enable_image_phone=&#8221;on&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;3_5,2_5&#8243; make_equal=&#8221;on&#8221; module_class=&#8221;custom_row row-1440&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;fc0747b4-478d-48f4-8b1f-e468d1419db6&#8243; width_tablet=&#8221;&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; min_height=&#8221;544px&#8221; min_height_tablet=&#8221;756px&#8221; min_height_phone=&#8221;722px&#8221; min_height_last_edited=&#8221;on|desktop&#8221; height=&#8221;30vw&#8221; max_height=&#8221;722px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;3_5&#8243; module_class=&#8221;second-on-mobile header-row&#8221; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; custom_css_main_element=&#8221;margin: auto;&#8221; global_colors_info=&#8221;{}&#8221; custom_css_main_element_last_edited=&#8221;on|phone&#8221; custom_css_main_element_tablet=&#8221;margin: auto auto 0;&#8221; custom_css_main_element_phone=&#8221;margin: auto auto 0;&#8221;][et_pb_text content_tablet=&#8221;<\/p>\n<p>\u00dcber Nierensteine \u2014<\/p>\n<h1>Eine der h\u00e4ufig\u00adsten uro\u00adlogi\u00adschen Erkrank\u00adungen.<\/h1>\n<p>&#8221; content_phone=&#8221;<\/p>\n<p>\u00dcber Nierensteine \u2014<\/p>\n<h1>Eine der h\u00e4ufig\u00adsten uro\u00adlogi\u00adschen Erkran\u00adkungen.<\/h1>\n<p>&#8221; content_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600|||||||&#8221; text_letter_spacing=&#8221;0.5px&#8221; background_layout=&#8221;dark&#8221; max_width=&#8221;800px&#8221; text_line_height_tablet=&#8221;&#8221; text_line_height_phone=&#8221;&#8221; text_line_height_last_edited=&#8221;on|desktop&#8221; custom_css_main_element=&#8221;hyphens: auto !important;&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>About kidney stones \u2014<\/p>\n<h1>One of the most<br \/>common urological diseases.<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_5&#8243; module_class=&#8221;first-on-mobile&#8221; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; custom_css_main_element=&#8221;margin: auto;&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;100px||100px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||30px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: center;\">What is urolithiasis?<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div>Urolithiasis refers to the formation of stones in the urinary tract. These can occur in the renal pelvis, ureter, urinary bladder or urethra. Urinary stone disease is one of the most common complaints worldwide. It is considered a widespread disease. Its frequency is increasing in many countries. The reasons for this are changes in lifestyle and unhealthy eating habits, but improved medical diagnostics are also contributing to higher case numbers.<\/div>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#253746&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div>Modern ultrasound devices and CT procedures enable urinary stones to be detected more frequently. Treatment is usually minimally invasive. However, the recurrence rate is up to 50%.<\/div>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; admin_label=&#8221;Sektion&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#309F52&#8243; custom_padding=&#8221;30px||80px||false|false&#8221; custom_padding_tablet=&#8221;20px||20px||true|false&#8221; custom_padding_phone=&#8221;20px||20px||true|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.5em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221;][et_pb_row column_structure=&#8221;1_4,1_4,1_4,1_4&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; disabled_on=&#8221;on|on|off&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;_initial&#8221; 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width=&#8221;100%&#8221; min_height=&#8221;40px&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.5em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;55px&#8221; custom_css_before=&#8221;overflow:hidden;&#8221; custom_css_main_element=&#8221;margin-top: auto;||cursor: default !important;&#8221; border_color_left=&#8221;#FFFFFF&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221;]<\/p>\n<p>Worldwide<\/p>\n<p>[\/et_pb_text][et_pb_text ul_type=&#8221;none&#8221; ul_item_indent=&#8221;20px&#8221; module_id=&#8221;trigger&#8221; 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border_color_left=&#8221;#FFFFFF&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221;]<\/p>\n<h2>106 <span style=\"font-size: 0.7em; line-height: 1.14em;\">M<\/span><\/h2>\n<p>[\/et_pb_text][et_pb_text ul_type=&#8221;none&#8221; ul_item_indent=&#8221;20px&#8221; module_id=&#8221;trigger&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;|600||on|||||&#8221; text_font_size=&#8221;12px&#8221; text_letter_spacing=&#8221;1px&#8221; text_line_height=&#8221;1.4em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.5em&#8221; header_font_size=&#8221;80px&#8221; 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transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>cases in 2021.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; module_class=&#8221;zdf-col&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; transform_translate=&#8221;0px|50px&#8221; transform_translate_linked=&#8221;off&#8221; custom_padding=&#8221;|||20px|false|false&#8221; border_width_left=&#8221;1px&#8221; border_color_left=&#8221;#FFFFFF&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221;][et_pb_text ul_type=&#8221;none&#8221; ul_item_indent=&#8221;20px&#8221; module_id=&#8221;trigger&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;|600||on|||||&#8221; text_font_size=&#8221;12px&#8221; text_letter_spacing=&#8221;1px&#8221; text_line_height=&#8221;1.4em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.5em&#8221; header_font_size=&#8221;80px&#8221; header_2_font=&#8221;|600|||||||&#8221; header_2_line_height=&#8221;1.14em&#8221; header_3_font=&#8221;|600|||||||&#8221; header_4_font=&#8221;|600|||||||&#8221; header_4_letter_spacing=&#8221;-0.5px&#8221; header_6_font=&#8221;|600|||||||&#8221; header_6_line_height=&#8221;1.2em&#8221; transform_translate_linked=&#8221;off&#8221; position_origin_r=&#8221;bottom_left&#8221; background_layout=&#8221;dark&#8221; width=&#8221;100%&#8221; min_height=&#8221;40px&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.5em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;55px&#8221; custom_css_before=&#8221;overflow:hidden;&#8221; custom_css_main_element=&#8221;margin-top: auto;||cursor: default !important;&#8221; border_color_left=&#8221;#FFFFFF&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221;]<\/p>\n<p>Increase in kidney stone prevalence:<\/p>\n<p>[\/et_pb_text][et_pb_text ul_type=&#8221;none&#8221; ul_item_indent=&#8221;20px&#8221; module_id=&#8221;trigger&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;|600|||||||&#8221; text_font_size=&#8221;12px&#8221; text_letter_spacing=&#8221;1px&#8221; text_line_height=&#8221;1.4em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.5em&#8221; header_font_size=&#8221;80px&#8221; header_2_font=&#8221;|600|||||||&#8221; header_2_line_height=&#8221;1.14em&#8221; header_3_font=&#8221;|600|||||||&#8221; header_4_font=&#8221;|600|||||||&#8221; header_4_letter_spacing=&#8221;-0.5px&#8221; header_6_font=&#8221;|600|||||||&#8221; header_6_line_height=&#8221;1.2em&#8221; transform_translate_linked=&#8221;off&#8221; position_origin_r=&#8221;bottom_left&#8221; background_layout=&#8221;dark&#8221; width=&#8221;100%&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.5em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;55px&#8221; custom_css_before=&#8221;overflow:hidden;&#8221; custom_css_main_element=&#8221;margin-top: auto;||cursor: default !important;&#8221; border_color_left=&#8221;#FFFFFF&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221;]<\/p>\n<h2>37<span style=\"font-size: 0.7em; line-height: 1.14em;\">%<\/span><\/h2>\n<p>[\/et_pb_text][et_pb_text ul_type=&#8221;none&#8221; ul_item_indent=&#8221;20px&#8221; module_id=&#8221;trigger&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;|600||on|||||&#8221; text_font_size=&#8221;12px&#8221; text_letter_spacing=&#8221;1px&#8221; text_line_height=&#8221;1.4em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.5em&#8221; header_font_size=&#8221;80px&#8221; 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transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221;]<\/p>\n<p style=\"margin-bottom: 16px;\">in the last 20 years.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; module_class=&#8221;zdf-col&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; transform_translate=&#8221;0px|50px&#8221; transform_translate_linked=&#8221;off&#8221; custom_padding=&#8221;|||20px|false|false&#8221; border_width_left=&#8221;1px&#8221; border_color_left=&#8221;#FFFFFF&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221;][et_pb_text ul_type=&#8221;none&#8221; ul_item_indent=&#8221;20px&#8221; module_id=&#8221;trigger&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;|600||on|||||&#8221; text_font_size=&#8221;12px&#8221; text_letter_spacing=&#8221;1px&#8221; text_line_height=&#8221;1.4em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.5em&#8221; header_font_size=&#8221;80px&#8221; header_2_font=&#8221;|600|||||||&#8221; header_2_line_height=&#8221;1.14em&#8221; header_3_font=&#8221;|600|||||||&#8221; header_4_font=&#8221;|600|||||||&#8221; header_4_letter_spacing=&#8221;-0.5px&#8221; header_6_font=&#8221;|600|||||||&#8221; header_6_line_height=&#8221;1.2em&#8221; transform_translate_linked=&#8221;off&#8221; position_origin_r=&#8221;bottom_left&#8221; background_layout=&#8221;dark&#8221; width=&#8221;100%&#8221; min_height=&#8221;40px&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.5em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;55px&#8221; custom_css_before=&#8221;overflow:hidden;&#8221; custom_css_main_element=&#8221;margin-top: auto;||cursor: default !important;&#8221; border_color_left=&#8221;#FFFFFF&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221;]<\/p>\n<p>Recurrence occurs <br \/> in up to <\/p>\n<p>[\/et_pb_text][et_pb_text ul_type=&#8221;none&#8221; ul_item_indent=&#8221;20px&#8221; module_id=&#8221;trigger&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;|600|||||||&#8221; text_font_size=&#8221;12px&#8221; text_letter_spacing=&#8221;1px&#8221; text_line_height=&#8221;1.4em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.5em&#8221; header_font_size=&#8221;80px&#8221; header_2_font=&#8221;|600|||||||&#8221; header_2_line_height=&#8221;1.14em&#8221; header_3_font=&#8221;|600|||||||&#8221; header_4_font=&#8221;|600|||||||&#8221; header_4_letter_spacing=&#8221;-0.5px&#8221; header_6_font=&#8221;|600|||||||&#8221; header_6_line_height=&#8221;1.2em&#8221; transform_translate_linked=&#8221;off&#8221; position_origin_r=&#8221;bottom_left&#8221; background_layout=&#8221;dark&#8221; width=&#8221;100%&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.5em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;55px&#8221; custom_css_before=&#8221;overflow:hidden;&#8221; custom_css_main_element=&#8221;margin-top: auto;||cursor: default !important;&#8221; border_color_left=&#8221;#FFFFFF&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221;]<\/p>\n<h2>50<span style=\"font-size: 0.7em; line-height: 1.14em;\">%<\/span><\/h2>\n<p>[\/et_pb_text][et_pb_text ul_type=&#8221;none&#8221; ul_item_indent=&#8221;20px&#8221; module_id=&#8221;trigger&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;|600||on|||||&#8221; text_font_size=&#8221;12px&#8221; text_letter_spacing=&#8221;1px&#8221; text_line_height=&#8221;1.4em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.5em&#8221; header_font_size=&#8221;80px&#8221; header_2_font=&#8221;|600|||||||&#8221; header_2_line_height=&#8221;1.14em&#8221; header_3_font=&#8221;|600|||||||&#8221; header_4_font=&#8221;|600|||||||&#8221; header_4_letter_spacing=&#8221;-0.5px&#8221; header_6_font=&#8221;|600|||||||&#8221; header_6_line_height=&#8221;1.2em&#8221; transform_translate_linked=&#8221;off&#8221; position_origin_r=&#8221;bottom_left&#8221; background_layout=&#8221;dark&#8221; width=&#8221;100%&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.5em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;55px&#8221; custom_css_before=&#8221;overflow:hidden;&#8221; custom_css_main_element=&#8221;margin-top: auto;||cursor: default !important;&#8221; border_color_left=&#8221;#FFFFFF&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221;]<\/p>\n<p>of kidney stone patients.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; module_class=&#8221;zdf-col&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; transform_translate=&#8221;0px|50px&#8221; transform_translate_linked=&#8221;off&#8221; custom_padding=&#8221;|||20px|false|false&#8221; border_width_left=&#8221;1px&#8221; border_color_left=&#8221;#FFFFFF&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221;][et_pb_text ul_type=&#8221;none&#8221; ul_item_indent=&#8221;20px&#8221; module_id=&#8221;trigger&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;|600||on|||||&#8221; text_font_size=&#8221;12px&#8221; text_letter_spacing=&#8221;1px&#8221; text_line_height=&#8221;1.4em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.5em&#8221; header_font_size=&#8221;80px&#8221; header_2_font=&#8221;|600|||||||&#8221; header_2_line_height=&#8221;1.14em&#8221; header_3_font=&#8221;|600|||||||&#8221; header_4_font=&#8221;|600|||||||&#8221; header_4_letter_spacing=&#8221;-0.5px&#8221; header_6_font=&#8221;|600|||||||&#8221; header_6_line_height=&#8221;1.2em&#8221; transform_translate_linked=&#8221;off&#8221; position_origin_r=&#8221;bottom_left&#8221; background_layout=&#8221;dark&#8221; width=&#8221;100%&#8221; min_height=&#8221;40px&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.5em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;55px&#8221; custom_css_before=&#8221;overflow:hidden;&#8221; custom_css_main_element=&#8221;margin-top: auto;||cursor: default !important;&#8221; border_color_left=&#8221;#FFFFFF&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221;]<\/p>\n<p>Residual fragments <br \/>increase the <\/p>\n<p>[\/et_pb_text][et_pb_text ul_type=&#8221;none&#8221; ul_item_indent=&#8221;20px&#8221; module_id=&#8221;trigger&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;|600|||||||&#8221; text_font_size=&#8221;12px&#8221; text_letter_spacing=&#8221;1px&#8221; text_line_height=&#8221;1.4em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.5em&#8221; header_font_size=&#8221;80px&#8221; header_2_font=&#8221;|600|||||||&#8221; header_2_line_height=&#8221;1.14em&#8221; header_3_font=&#8221;|600|||||||&#8221; header_4_font=&#8221;|600|||||||&#8221; header_4_letter_spacing=&#8221;-0.5px&#8221; header_6_font=&#8221;|600|||||||&#8221; header_6_line_height=&#8221;1.2em&#8221; transform_translate_linked=&#8221;off&#8221; position_origin_r=&#8221;bottom_left&#8221; background_layout=&#8221;dark&#8221; width=&#8221;100%&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.5em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;55px&#8221; custom_css_before=&#8221;overflow:hidden;&#8221; custom_css_main_element=&#8221;margin-top: auto;||cursor: default !important;&#8221; border_color_left=&#8221;#FFFFFF&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221;]<\/p>\n<h2>RISK<\/h2>\n<p>[\/et_pb_text][et_pb_text ul_type=&#8221;none&#8221; ul_item_indent=&#8221;20px&#8221; module_id=&#8221;trigger&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;|600||on|||||&#8221; text_font_size=&#8221;12px&#8221; text_letter_spacing=&#8221;1px&#8221; text_line_height=&#8221;1.4em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.5em&#8221; header_font_size=&#8221;80px&#8221; header_2_font=&#8221;|600|||||||&#8221; header_2_line_height=&#8221;1.14em&#8221; header_3_font=&#8221;|600|||||||&#8221; header_4_font=&#8221;|600|||||||&#8221; header_4_letter_spacing=&#8221;-0.5px&#8221; header_6_font=&#8221;|600|||||||&#8221; header_6_line_height=&#8221;1.2em&#8221; transform_translate_linked=&#8221;off&#8221; position_origin_r=&#8221;bottom_left&#8221; background_layout=&#8221;dark&#8221; width=&#8221;100%&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.5em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;55px&#8221; custom_css_before=&#8221;overflow:hidden;&#8221; custom_css_main_element=&#8221;margin-top: auto;||cursor: default !important;&#8221; border_color_left=&#8221;#FFFFFF&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;0px|0px&#8221;]<\/p>\n<p style=\"margin-bottom: 16px;\"> of recurrence.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row disabled_on=&#8221;off|off|on&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_nextend_smart_slider_3 slider=&#8221;38&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_nextend_smart_slider_3][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_3,2_3&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text content_tablet=&#8221;<\/p>\n<h2 style=%22text-align: center;%22>Kidney stones.<br \/>One of the most common uro\u00adlogical diseases.<\/h2>\n<p>&#8221; content_phone=&#8221;<\/p>\n<h2 style=%22text-align: center;%22>Kidney stones.<br \/>One of the most common uro\u00adlogical diseases.<\/h2>\n<p>&#8221; content_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; width=&#8221;125%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;100%&#8221; width_last_edited=&#8221;on|phone&#8221; module_alignment=&#8221;left&#8221; custom_padding=&#8221;|15px|||false|false&#8221; custom_padding_tablet=&#8221;|0px|||false|false&#8221; custom_padding_phone=&#8221;|0px|||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; module_alignment_tablet=&#8221;center&#8221; module_alignment_phone=&#8221;center&#8221; module_alignment_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Kidney stones.<br \/>One of the most common uro&shy;logical diseases.<\/h2>\n<p>[\/et_pb_text][et_pb_text content_tablet=&#8221;<\/p>\n<p style=%22text-align: center;%22>Die H\u00e4ufigkeit von Harnsteinen variiert weltweit zwischen 1% und 20%. In L\u00e4ndern mit hohem Lebensstandard wie Schweden, Kanada oder den USA ist die Pr\u00e4valenz besonders hoch (\u00fcber 10%). Einige Regionen verzeichneten in den letzten 20 Jahren einen Anstieg von mehr als 37%. Zunehmend zeigt sich ein Zusammenhang zwischen Nierensteinen und dem Risiko f\u00fcr chronische Nierenerkrankungen (CKD). Die Global Burden of Disease Study (GBD) erfasste f\u00fcr das Jahr 2019 weltweit 115 Millionen Menschen mit Urolithiasis.<\/p>\n<p>&#8221; content_phone=&#8221;<\/p>\n<p style=%22text-align: center;%22>Die H\u00e4ufigkeit von Harnsteinen variiert weltweit zwischen 1% und 20%. In L\u00e4ndern mit hohem Lebensstandard wie Schweden, Kanada oder den USA ist die Pr\u00e4valenz besonders hoch (\u00fcber 10%). Einige Regionen verzeichneten in den letzten 20 Jahren einen Anstieg von mehr als 37%. Zunehmend zeigt sich ein Zusammenhang zwischen Nierensteinen und dem Risiko f\u00fcr chronische Nierenerkrankungen (CKD). Die Global Burden of Disease Study (GBD) erfasste f\u00fcr das Jahr 2019 weltweit 115 Millionen Menschen mit Urolithiasis.<\/p>\n<p>&#8221; content_last_edited=&#8221;on|tablet&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>The incidence of urinary stones varies between 1% and 20% worldwide.  The prevalence is particularly high (over 10%) in countries with a high standard of living, such as Sweden, Canada or the USA. Some regions have recorded an increase of more than 37% in the last 20 years. There is an increasing link between kidney stones and the risk of chronic kidney disease (CKD). The Global Burden of Disease Study (GBD) recorded 106 million people with urolithiasis worldwide in 2019.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; transform_scale_tablet=&#8221;&#8221; transform_scale_phone=&#8221;&#8221; transform_scale_last_edited=&#8221;on|desktop&#8221; transform_translate=&#8221;40px|0px&#8221; transform_translate_tablet=&#8221;0px|0px&#8221; transform_translate_phone=&#8221;0px|0px&#8221; transform_translate_last_edited=&#8221;on|phone&#8221; transform_translate_linked=&#8221;off&#8221; transform_rotate_tablet=&#8221;&#8221; transform_rotate_phone=&#8221;&#8221; transform_rotate_last_edited=&#8221;on|desktop&#8221; transform_skew_tablet=&#8221;&#8221; transform_skew_phone=&#8221;&#8221; transform_skew_last_edited=&#8221;on|desktop&#8221; transform_origin_tablet=&#8221;&#8221; transform_origin_phone=&#8221;&#8221; transform_origin_last_edited=&#8221;on|desktop&#8221; 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animation_delay=&#8221;500ms&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_image src=&#8221;https:\/\/www.medinik.de\/wp-content\/uploads\/2026\/02\/map_faelle_en-scaled.png&#8221; align=&#8221;right&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; transform_scale_last_edited=&#8221;off|tablet&#8221; transform_translate_tablet=&#8221;0px|0px&#8221; transform_translate_phone=&#8221;0px|0px&#8221; transform_translate_last_edited=&#8221;off|tablet&#8221; transform_rotate_last_edited=&#8221;off|tablet&#8221; transform_skew_last_edited=&#8221;off|tablet&#8221; transform_origin_last_edited=&#8221;off|tablet&#8221; transform_styles_last_edited=&#8221;off|tablet&#8221; positioning=&#8221;absolute&#8221; width=&#8221;100%&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; custom_padding_tablet=&#8221;|||0px|false|false&#8221; custom_padding_phone=&#8221;|||0px|false|false&#8221; custom_padding_last_edited=&#8221;off|desktop&#8221; animation_style=&#8221;fade&#8221; animation_delay=&#8221;1500ms&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_image src=&#8221;https:\/\/www.medinik.de\/wp-content\/uploads\/2026\/02\/map_urs_en-scaled.png&#8221; align=&#8221;right&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; transform_scale_last_edited=&#8221;off|tablet&#8221; transform_translate_tablet=&#8221;0px|0px&#8221; transform_translate_phone=&#8221;0px|0px&#8221; transform_translate_last_edited=&#8221;off|tablet&#8221; transform_rotate_last_edited=&#8221;off|tablet&#8221; transform_skew_last_edited=&#8221;off|tablet&#8221; transform_origin_last_edited=&#8221;off|tablet&#8221; transform_styles_last_edited=&#8221;off|tablet&#8221; positioning=&#8221;absolute&#8221; width=&#8221;100%&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; custom_padding_tablet=&#8221;|||0px|false|false&#8221; custom_padding_phone=&#8221;|||0px|false|false&#8221; custom_padding_last_edited=&#8221;off|desktop&#8221; animation_style=&#8221;fade&#8221; animation_delay=&#8221;2500ms&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;90px||0px||false|false&#8221; custom_padding_tablet=&#8221;40px||||false|false&#8221; custom_padding_phone=&#8221;40px||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||30px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: center;\">How are kidney stones treated?<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||40px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>A distinction is made between non-interventional (conservative) and interventional therapy. Interventional therapies include:<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>\u2022 Extracorporeal shock wave lithotripsy (ESWL or SWL)<br \/>\u2022 Percutaneous nephrolithotomy (PCNL or PNL)<br \/>\u2022 Ureterorenoscopy (URS)<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||5px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<style>#sp-ea-3736 .spcollapsing { height: 0; overflow: hidden; transition-property: height;transition-duration: 200ms;}#sp-ea-3736.sp-easy-accordion>.sp-ea-single {margin-bottom: 10px; border: 1px solid #e2e2e2; }#sp-ea-3736.sp-easy-accordion>.sp-ea-single>.ea-header a {color: #444;}#sp-ea-3736.sp-easy-accordion>.sp-ea-single>.sp-collapse>.ea-body {background: #ffffff; color: #444;}#sp-ea-3736.sp-easy-accordion>.sp-ea-single {background: transparent;}#sp-ea-3736.sp-easy-accordion>.sp-ea-single>.ea-header a .ea-expand-icon { float: right; color: #444;font-size: 16px;}#sp-ea-3736.sp-easy-accordion>.sp-ea-single>.ea-header a .ea-expand-icon {margin-right: 0;}<\/style><div id=\"sp_easy_accordion-1724401577\"><div id=\"sp-ea-3736\" class=\"sp-ea-one sp-easy-accordion\" data-ea-active=\"ea-click\" data-ea-mode=\"vertical\" data-preloader=\"\" data-scroll-active-item=\"\" data-offset-to-scroll=\"0\"><div class=\"ea-card ea-expand sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-37360\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse37360\" aria-controls=\"collapse37360\" href=\"#\" aria-expanded=\"true\" tabindex=\"0\">Non-interventional\/conservative therapy<\/a><\/h3><div class=\"sp-collapse spcollapse collapsed show\" id=\"collapse37360\" data-parent=\"#sp-ea-3736\" role=\"region\" aria-labelledby=\"ea-header-37360\"> <div class=\"ea-body\"><p>With this method, you are monitored regularly while waiting for the stone to be passed spontaneously. Alpha blockers can support this process. They increase the rate and speed of stone elimination.<\/p><p>The current German S2k guideline on the diagnosis, treatment and metaphylaxis of urolithiasis recommends conservative treatment for small, newly diagnosed ureteral stones up to 7 mm. The decision between conservative and interventional therapy should also be based on the likelihood of spontaneous remission and patient-centered factors.<\/p><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-37361\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse37361\" aria-controls=\"collapse37361\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\">Extracorporeal shock wave lithotripsy (ESWL or SWL)<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse37361\" data-parent=\"#sp-ea-3736\" role=\"region\" aria-labelledby=\"ea-header-37361\"> <div class=\"ea-body\"><p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1217 aligncenter\" src=\"\/wp-content\/uploads\/2024\/09\/240814_Illustration_ESWL_EN.png\" alt=\"\" width=\"500\" height=\"1225\" \/><br \/>ESWL is a non-invasive procedure. Shock waves are generated outside the body to break up kidney stones. The resulting fragments should be small enough to be excreted in the urine.<\/p><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-37362\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse37362\" aria-controls=\"collapse37362\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\">Percutaneous nephrolithotomy (PCNL or PNL)<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse37362\" data-parent=\"#sp-ea-3736\" role=\"region\" aria-labelledby=\"ea-header-37362\"> <div class=\"ea-body\"><p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1217 aligncenter\" src=\"\/wp-content\/uploads\/2024\/09\/240814_Illustration_PCNL_EN.png\" alt=\"\" width=\"500\" height=\"1225\" \/><\/p><p>PCNL is a surgical method for the direct removal of kidney stones. It is particularly suitable for large stones. The procedure is performed under general anesthetic. A nephroscope is inserted through the skin directly into the kidney. PCNL is therefore more invasive than ESWL and URS and is associated with a higher risk of complications.<\/p><p>During the procedure, additional catheters are inserted into the bladder and ureter. Urine is drained from the bladder and, if necessary, contrast medium is instilled into the ureter to better localize the kidney stone. The stones are fragmented using laser or ultrasound and actively removed through the endoscope with a stone extraction basket. Small fragments are flushed out or left in the kidney to be passed spontaneously.<\/p><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-37363\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse37363\" aria-controls=\"collapse37363\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\">Ureterorenoscopy (URS)<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse37363\" data-parent=\"#sp-ea-3736\" role=\"region\" aria-labelledby=\"ea-header-37363\"> <div class=\"ea-body\"><p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1219 aligncenter\" src=\"\/wp-content\/uploads\/2024\/09\/240814_Illustration_URS_EN.png\" alt=\"\" width=\"500\" height=\"1225\" \/><\/p><p>&nbsp;<\/p><p>URS is a minimally invasive surgical procedure that can be used to perform an endoscopy of the ureter and kidney. Under general anesthetic, a ureterorenoscope is inserted via the urethral opening through the urethra and bladder into the ureter and kidney. The use of contrast medium makes it possible to better localize the kidney stone and identify anatomical abnormalities. The ureteroscope is equipped with a tiny camera that is used to see through the bladder into the ureter. The stone is either removed directly or shattered with a laser. The fragments are actively removed with a stone extraction basket.<\/p><p>After the procedure, a ureteral sheath and also a urinary catheter can be inserted to facilitate urine drainage - should the ureter be swollen as a result of the procedure. Both the ureteral sheath and the urinary catheter are removed shortly after the operation. The patients can leave the hospital if they are able to empty their bladder and there are no complications.<\/p><\/div><\/div><\/div><\/div><\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;80px||100px||false|false&#8221; custom_padding_tablet=&#8221;40px||60px||false|false&#8221; custom_padding_phone=&#8221;40px||60px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||30px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: center;\">Risk factor: <br \/>Remaining Residual fragments<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Residual fragments that remain in the kidney or ureter after interventional therapy can represent a nucleus for renewed stone formation. The term &#8220;clinically insignificant residual fragments (CIRF)&#8221; for residual fragments &lt;4 mm is outdated and should no longer be used according to the current S2k guideline. The risk of recurrence within 5 years of the intervention is 21-59% of patients with residual fragments. Patients with struvite stones, also known as infectious stones, which are often caused by urinary tract infections, have a particularly high risk of recurrence.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Accordingly, the guideline recommends active stone removal of symptomatic residual fragments regardless of size and of asymptomatic residual fragments &gt;4 mm as well as regular monitoring of fragments &lt;4 mm. The smaller the residual fragments are, the higher the probability that they will pass spontaneously. However, there is evidence that even residual fragments &lt;1 mm, also known as dust, do not always pass spontaneously and become larger.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#309F52&#8243; max_height=&#8221;530px&#8221; max_height_tablet=&#8221;&#8221; max_height_phone=&#8221;&#8221; max_height_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;90px||100px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; header_3_text_color=&#8221;#FFFFFF&#8221; header_3_font_size=&#8221;40px&#8221; header_3_font_size_last_edited=&#8221;off|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>With mediNiK\u00ae I can guarantee to my patients that they will be 100% stone-free after an operation.<\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600||on|||||&#8221; text_letter_spacing=&#8221;-0.5px&#8221; background_layout=&#8221;dark&#8221; custom_margin=&#8221;||5px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Dr Michael Straub<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;69a0e13c-1630-45aa-b27d-7a6ca54e8478&#8243; background_layout=&#8221;dark&#8221; custom_margin_last_edited=&#8221;off|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Managing Senior Physician, Head of Endourology and Urinary Stone Centre, Klinikum rechts der Isar, Munich<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.medinik.de\/wp-content\/uploads\/2025\/09\/medinik-packungs-composing_green.jpg&#8221; title_text=&#8221;medinik-packungs-composing_green&#8221; force_fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; transform_scale_tablet=&#8221;120%|120%&#8221; transform_scale_phone=&#8221;140%|140%&#8221; transform_scale_last_edited=&#8221;on|phone&#8221; transform_translate_tablet=&#8221;-50px|0px&#8221; transform_translate_phone=&#8221;-30px|10px&#8221; transform_translate_last_edited=&#8221;on|tablet&#8221; transform_translate_linked=&#8221;off&#8221; transform_rotate_tablet=&#8221;&#8221; transform_rotate_phone=&#8221;&#8221; transform_rotate_last_edited=&#8221;on|desktop&#8221; transform_skew_tablet=&#8221;&#8221; transform_skew_phone=&#8221;&#8221; transform_skew_last_edited=&#8221;on|desktop&#8221; transform_origin_tablet=&#8221;&#8221; transform_origin_phone=&#8221;&#8221; transform_origin_last_edited=&#8221;on|desktop&#8221; transform_styles_last_edited=&#8221;on|phone&#8221; transform_styles_tablet=&#8221;&#8221; transform_styles_phone=&#8221;&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;100px||0px||false|false&#8221; custom_padding_tablet=&#8221;50px||||false|false&#8221; custom_padding_phone=&#8221;50px||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||30px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: center;\">How do kidney and urinary stones develop?<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_margin=&#8221;||25px||false|false&#8221; custom_padding=&#8221;0px||25px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Our kidneys have \u2013 among other things \u2013 the important task of regulating the concentration of salts, electrolytes, water and the acid-base balance in the body by excreting these in the urine as required. Urine is formed in the kidneys, transported via the ureters to the bladder and excreted through the urethra.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Kidney stones occur when certain salts or uric acid are too highly concentrated in the urine. Small crystals form and grow into larger stones. The exact development process is complex and not yet fully understood. Risk factors for kidney stones are:<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row use_custom_gutter=&#8221;on&#8221; module_class=&#8221;rueckblick-row&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|tablet&#8221; max_width=&#8221;1120px&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_css_main_element=&#8221;margin-bottom: 0;&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code module_class=&#8221;multi-hr-akkordeon&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px|0px|0px|0px|false|false&#8221; custom_margin_tablet=&#8221;||||false|false&#8221; custom_margin_phone=&#8221;|||0px|false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|true&#8221; border_width_top=&#8221;1px&#8221; border_color_top=&#8221;#818b94&#8243; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"rueckblick-kachel\"><!-- [et_pb_line_break_holder] -->   <\/p>\n<div class=\"rueckblick-textarea\"><!-- [et_pb_line_break_holder] -->      <\/p>\n<div class=\"rueckblick-date-row\"><!-- [et_pb_line_break_holder] -->         <\/p>\n<h4 class=\"rueckblick-h4\">Lifestyle and diet<\/h4>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<div id=\"rueckblick-btn\" class=\"btn-accordion-open rueckblick-btn\"><!-- [et_pb_line_break_holder] -->            <img decoding=\"async\" src=\"\/wp-content\/uploads\/2024\/09\/arrow-right-sharp-light.svg\" alt=\"Pfeil\"><!-- [et_pb_line_break_holder] -->         <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<div class=\"rueckblick-infotext rueckblick-infotext-fadet\"><!-- [et_pb_line_break_holder] -->           <\/p>\n<ul>               <!-- [et_pb_line_break_holder] -->             <\/p>\n<li>Excessive consumption of animal proteins and salt<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Lack of chelating agents such as citrate, fibre fiber and alkaline foods<\/li>\n<p><!-- [et_pb_line_break_holder] -->        <\/ul>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<hr>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<h4 class=\"rueckblick-h4\">Metabolic disorders<\/h4>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<ul>         <!-- [et_pb_line_break_holder] -->             <\/p>\n<li>Hyper\u00adcalciuria, hypocitra\u00adturia, hyper\u00adoxaluria, hyper\u00aduricosuria<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Gout (impaired uric acid metabolism)<\/li>\n<p><!-- [et_pb_line_break_holder] -->         <\/ul>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<hr>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<h4 class=\"rueckblick-h4\">Disorders of calcium metabolism<\/h4>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<ul><!-- [et_pb_line_break_holder] -->            <\/p>\n<li>Primary hyper\u00adparathy\u00adroidism and other disorders of calcium metabolism<\/li>\n<p><!-- [et_pb_line_break_holder] -->         <\/ul>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<hr>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<h4 class=\"rueckblick-h4\">Urine compo\u00adsition<\/h4>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<ul><!-- [et_pb_line_break_holder] -->            <\/p>\n<li>Too many crystallisation crystallization promoters<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Too few inhibitory substances<\/li>\n<p><!-- [et_pb_line_break_holder] -->         <\/ul>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<hr>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<h4 class=\"rueckblick-h4\">Low urine volume<\/h4>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<ul><!-- [et_pb_line_break_holder] -->            <\/p>\n<li>Insufficient water absorption<\/li>\n<p><!-- [et_pb_line_break_holder] -->        <\/ul>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<hr>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<h4 class=\"rueckblick-h4\">Recurrent urinary tract infections<\/h4>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<ul><!-- [et_pb_line_break_holder] -->            <\/p>\n<li>Changes in the urine pH value<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Alkalisation by bacterial urease (e.g. Proteus mirabilis)<\/li>\n<p><!-- [et_pb_line_break_holder] -->        <\/ul>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<hr>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<h4 class=\"rueckblick-h4\">Genetic factors<\/h4>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<ul><!-- [et_pb_line_break_holder] -->            <\/p>\n<li>Family Familial pre\u00addis\u00adposition<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Monogenic hereditary diseases<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Renal tubular acidosis<\/li>\n<p><!-- [et_pb_line_break_holder] -->         <\/ul>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<hr>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<h4 class=\"rueckblick-h4\">Anatomical anomalies<\/h4>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<ul><!-- [et_pb_line_break_holder] -->            <\/p>\n<li>Defects of the medullary sponge kidney<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Uretero-pelvic junction stenosis<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Pyeloureteral duplication<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Polycystic kidney disease<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Horseshoe kidney<\/li>\n<p><!-- [et_pb_line_break_holder] -->        <\/ul>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<hr>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<h4 class=\"rueckblick-h4\">Other factors<\/h4>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<ul><!-- [et_pb_line_break_holder] -->            <\/p>\n<li>High blood pressure<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Overweight<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Climate change and geographical conditions<\/li>\n<p><!-- [et_pb_line_break_holder] -->        <\/ul>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<hr>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<h4 class=\"rueckblick-h4\">Intestinal diseases<\/h4>\n<p><!-- [et_pb_line_break_holder] -->        <\/p>\n<ul><!-- [et_pb_line_break_holder] -->            <\/p>\n<li>Inflammatory bowel diseases<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Intestinal malabsorption<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Lack of oxalate-degrading intestinal bacteria<\/li>\n<p><!-- [et_pb_line_break_holder] -->        <\/ul>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<hr>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<h4 class=\"rueckblick-h4\">Certain medications<\/h4>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<ul><!-- [et_pb_line_break_holder] -->           <\/p>\n<li>Indinavir (Crixivan)<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Sulfonamides (sulfadiazine)<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Certain diuretics<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Ceftriaxone (in high doses over a long period of time)<\/li>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<li>Diuretics that are poorly soluble and favour the formation of stones<\/li>\n<p><!-- [et_pb_line_break_holder] -->         <\/ul>\n<p><!-- [et_pb_line_break_holder] -->         <\/p>\n<hr>\n<p><!-- [et_pb_line_break_holder] -->         <\/pee><!-- [et_pb_line_break_holder] -->    <!-- [et_pb_line_break_holder] -->         <!-- [et_pb_line_break_holder] -->      <\/div>\n<p><!-- [et_pb_line_break_holder] -->   <\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;90px||100px||false|false&#8221; custom_padding_tablet=&#8221;45px||0px||false|false&#8221; custom_padding_phone=&#8221;45px||0px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||30px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: center;\">Prevention of urinary stone disease<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; module_alignment=&#8221;center&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div style=\"text-align: center;\">\n<p>To prevent a recurrence of the stone disease, the doctor first carries out a risk assessment, which assigns the patient to either the <strong>low-risk<\/strong> or <strong>high-risk group.<\/strong> This is evaluated on the basis of the composition of the urinary stones and the basic diagnostics (diet, comorbidities, medication, family history, laboratory blood tests, etc.). In addition to general urinary stone metaphylaxis as a basic therapy, high-risk patients also require stone-specific prophylaxis depending on the patient&#8217;s biochemical risk profile.<\/p>\n<p>The following general measures (basic therapy) are recommended for <strong>all urinary stone patients regardless of the risk group:<\/strong><\/p>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;73760b87-ebfb-474a-b627-57e1fefede67&#8243; custom_padding=&#8221;0px||100px||false|false&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;50px||50px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; module_class=&#8221;custom_row row-1120&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;880efb8e-bfbc-46c3-92d0-7bdda94f6270&#8243; max_width=&#8221;1400px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover_enabled=&#8221;off|desktop&#8221;][et_pb_column type=&#8221;1_2&#8243; module_class=&#8221;second-on-mobile&#8221; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;67cc6480-2990-4039-94f3-ebbdb398fda2&#8243; custom_margin=&#8221;0px|40px|21px||false|false&#8221; custom_margin_tablet=&#8221;10px|0px|0px||false|false&#8221; custom_margin_phone=&#8221;10px|0px|0px||false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;40px||||false|false&#8221; custom_padding_tablet=&#8221;0px||||false|false&#8221; custom_padding_phone=&#8221;0px||||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;&#8221; header_4_font_size_phone=&#8221;&#8221; header_4_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Adjustment of fluid intake<\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;67cc6480-2990-4039-94f3-ebbdb398fda2&#8243; custom_margin=&#8221;|40px|30px||false|false&#8221; custom_margin_tablet=&#8221;10px|0px|||false|false&#8221; custom_margin_phone=&#8221;10px|0px|||false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;||||false|false&#8221; header_4_font_size_tablet=&#8221;&#8221; header_4_font_size_phone=&#8221;&#8221; header_4_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>Increase the amount you drink to 2.5 to 3 litres a day:<\/strong> This leads to increased flushing of the urinary tract, shortens the urinary transit time, impedes crystal formation and flushes out pathogenic germs.<\/p>\n<p><strong>Suitable drinks:<\/strong> Kidney, bladder and fruit teas, mineral waters low in minerals, apple juice (urine-neutral); bicarbonate-rich medicinal waters, citrus juices (urine alkalizers).<\/p>\n<p><strong>Unsuitable drinks:<\/strong> Avoid caffeinated coffee and black tea (max. 2-3 cups\/day), alcohol, sugary fruit drinks, soft drinks and cola (these increase the risk of calcium oxalate stone formation).<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; module_class=&#8221;first-on-mobile&#8221; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;67cc6480-2990-4039-94f3-ebbdb398fda2&#8243; background_image=&#8221;https:\/\/www.medinik.de\/wp-content\/uploads\/2024\/08\/praevention_fluessigkeitszufuhr@3x.jpg&#8221; width=&#8221;40vw&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|phone&#8221; max_width=&#8221;700px&#8221; max_width_tablet=&#8221;700px&#8221; max_width_phone=&#8221;700px&#8221; max_width_last_edited=&#8221;on|tablet&#8221; height=&#8221;450px&#8221; custom_margin=&#8221;||||false|false&#8221; border_radii=&#8221;on|8px|8px|8px|8px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;2f135bc4-4315-4176-85fb-bd635f095141&#8243; custom_padding=&#8221;0px||100px||false|false&#8221; custom_padding_tablet=&#8221;0px||50px||false|false&#8221; custom_padding_phone=&#8221;0px||50px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; module_class=&#8221;row-1440&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;e10b5ca8-fbb2-42ea-93b5-b28aabca935a&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover_enabled=&#8221;off|desktop&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;9ed93bf2-0c9f-4742-9861-abad3b808a92&#8243; background_image=&#8221;https:\/\/www.medinik.de\/wp-content\/uploads\/2024\/08\/praeventionernaehrung3x.jpg&#8221; background_position=&#8221;center_right&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; height=&#8221;450px&#8221; border_radii=&#8221;on|8px|8px|8px|8px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;|||40px|false|false&#8221; custom_padding_tablet=&#8221;|||0px|false|false&#8221; custom_padding_phone=&#8221;|||0px|false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;9ed93bf2-0c9f-4742-9861-abad3b808a92&#8243; header_5_font=&#8221;|600||on|||||&#8221; header_5_line_height=&#8221;1.43em&#8221; max_width=&#8221;480px&#8221; custom_margin=&#8221;0px||21px||false|false&#8221; custom_margin_tablet=&#8221;10px|0px|0px|0px|false|false&#8221; custom_margin_phone=&#8221;10px|0px|0px||false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;40px||||false|false&#8221; custom_padding_tablet=&#8221;0px||||false|false&#8221; custom_padding_phone=&#8221;0px||||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;&#8221; header_4_font_size_phone=&#8221;&#8221; header_4_font_size_last_edited=&#8221;on|phone&#8221; header_5_font_size_tablet=&#8221;&#8221; header_5_font_size_phone=&#8221;&#8221; header_5_font_size_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Dietary adjustment<\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;9ed93bf2-0c9f-4742-9861-abad3b808a92&#8243; header_5_font=&#8221;|600||on|||||&#8221; header_5_line_height=&#8221;1.43em&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_margin_tablet=&#8221;10px|0px||0px|false|false&#8221; custom_margin_phone=&#8221;10px|0px|||false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;||||false|false&#8221; header_4_font_size_tablet=&#8221;&#8221; header_4_font_size_phone=&#8221;&#8221; header_4_font_size_last_edited=&#8221;on|phone&#8221; header_5_font_size_tablet=&#8221;&#8221; header_5_font_size_phone=&#8221;&#8221; header_5_font_size_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>Protein:<\/strong> 0.8 g\/kg body weight, preferably vegetable. Reduce animal protein, as it increases calcium excretion and thus the risk of stone formation.<\/p>\n<p><strong>Purines:<\/strong> Reducing purine-rich foods (offal, meat, fish, pulses) increases uric acid excretion and the risk of stone formation.<\/p>\n<p><strong>Calcium:<\/strong> Adequate intake through low-fat dairy products and calcium-rich mineral water. Low calcium intake increases the risk of calcium oxalate stone formation.<\/p>\n<p><strong>Magnesium:<\/strong> Reduces oxalic acid excretion and promotes the solubilization of calcium oxalate.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;73760b87-ebfb-474a-b627-57e1fefede67&#8243; custom_padding=&#8221;0px||0px||false|false&#8221; custom_padding_tablet=&#8221;50px||0px||false|false&#8221; custom_padding_phone=&#8221;50px||0px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; module_class=&#8221;custom_row row-1120&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;880efb8e-bfbc-46c3-92d0-7bdda94f6270&#8243; max_width=&#8221;1400px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover_enabled=&#8221;off|desktop&#8221;][et_pb_column type=&#8221;1_2&#8243; module_class=&#8221;second-on-mobile&#8221; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;67cc6480-2990-4039-94f3-ebbdb398fda2&#8243; custom_margin=&#8221;0px|40px|21px||false|false&#8221; custom_margin_tablet=&#8221;10px|0px|0px||false|false&#8221; custom_margin_phone=&#8221;10px|0px|||false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;40px||||false|false&#8221; custom_padding_tablet=&#8221;0px||||false|false&#8221; custom_padding_phone=&#8221;0px||||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;&#8221; header_4_font_size_phone=&#8221;&#8221; header_4_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Lifestyle adjustment<\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;67cc6480-2990-4039-94f3-ebbdb398fda2&#8243; custom_margin=&#8221;|40px|30px||false|false&#8221; custom_margin_tablet=&#8221;10px|0px|0px||false|false&#8221; custom_margin_phone=&#8221;10px|0px|||false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;||||false|false&#8221; header_4_font_size_tablet=&#8221;&#8221; header_4_font_size_phone=&#8221;&#8221; header_4_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>Physical exercise:<\/strong> Physical activity causes tiny urine crystals to be excreted more efficiently. In addition to sporting activities, changes in everyday habits, such as taking the stairs or cycling, also contribute to this.<\/p>\n<p><strong>Achieving a normal weight:<\/strong> Overweight favors the development of urinary stones. Therefore, if you are overweight, you should endeavor to lose weight.<\/p>\n<p><strong>Stress limitation:<\/strong> Stress is also a risk factor for the renewed formation of urinary stones. Relaxation techniques can reduce the likelihood of recurrence.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; module_class=&#8221;first-on-mobile&#8221; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;67cc6480-2990-4039-94f3-ebbdb398fda2&#8243; background_image=&#8221;https:\/\/www.medinik.de\/wp-content\/uploads\/2024\/08\/praeventionlebensfuehrung3x.jpg&#8221; width=&#8221;40vw&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|phone&#8221; max_width=&#8221;700px&#8221; max_width_tablet=&#8221;700px&#8221; max_width_phone=&#8221;700px&#8221; max_width_last_edited=&#8221;on|tablet&#8221; height=&#8221;450px&#8221; custom_margin=&#8221;||||false|false&#8221; border_radii=&#8221;on|8px|8px|8px|8px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;90px||100px||false|false&#8221; custom_padding_tablet=&#8221;40px||50px||false|false&#8221; custom_padding_phone=&#8221;40px||50px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||40px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||10px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: center;\">For high-risk patients<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; module_alignment=&#8221;center&#8221; custom_padding=&#8221;||0px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div style=\"text-align: center;\">\n<p>The following stone-specific measures are recommended in addition to basic therapy:<\/p>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code module_class=&#8221;akkordeon-hochrisikopatientinnen&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<style>#sp-ea-3734 .spcollapsing { height: 0; overflow: hidden; transition-property: height;transition-duration: 200ms;}#sp-ea-3734.sp-easy-accordion>.sp-ea-single {margin-bottom: 10px; border: 1px solid #e2e2e2; }#sp-ea-3734.sp-easy-accordion>.sp-ea-single>.ea-header a {color: #444;}#sp-ea-3734.sp-easy-accordion>.sp-ea-single>.sp-collapse>.ea-body {background: #ffffff; color: #444;}#sp-ea-3734.sp-easy-accordion>.sp-ea-single {background: transparent;}#sp-ea-3734.sp-easy-accordion>.sp-ea-single>.ea-header a .ea-expand-icon { float: right; color: #444;font-size: 16px;}#sp-ea-3734.sp-easy-accordion>.sp-ea-single>.ea-header a .ea-expand-icon {margin-right: 0;}<\/style><div id=\"sp_easy_accordion-1724401577\"><div id=\"sp-ea-3734\" class=\"sp-ea-one sp-easy-accordion\" data-ea-active=\"ea-click\" data-ea-mode=\"vertical\" data-preloader=\"\" data-scroll-active-item=\"\" data-offset-to-scroll=\"0\"><div class=\"ea-card ea-expand sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-37340\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse37340\" aria-controls=\"collapse37340\" href=\"#\" aria-expanded=\"true\" tabindex=\"0\">Calcium oxalate stones (&gt;70%) and calcium phosphate stones (5-6%)<\/a><\/h3><div class=\"sp-collapse spcollapse collapsed show\" id=\"collapse37340\" data-parent=\"#sp-ea-3734\" role=\"region\" aria-labelledby=\"ea-header-37340\"> <div class=\"ea-body\"><ul><li>Fluid intake of more than 2.5 litres, e.g. mineral water<\/li><li>Calcium intake of 1 - 1.2 g \/day<\/li><li>Protein intake approx. 0.8 - 1.0 g\/day\/kg bw\/daybody weight<\/li><li>Low salt diet<\/li><li>Reduction of oxalate intake<\/li><\/ul><div>Foods with a high oxalate content are, for example<\/div><div>Spinach, rhubarb, chard, beetroot, asparagus, cocoa powder, chocolate, nuts, almonds.<\/div><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-37341\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse37341\" aria-controls=\"collapse37341\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\">Stones containing uric acid (&gt;10%)<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse37341\" data-parent=\"#sp-ea-3734\" role=\"region\" aria-labelledby=\"ea-header-37341\"> <div class=\"ea-body\"><ul><li>No alcohol<\/li><li>Little meat, fish and sausage<\/li><li>Lacto-vegetarian diet: Vegetables, cereals, potatoes, fruit, dairy products<\/li><\/ul><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-37342\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse37342\" aria-controls=\"collapse37342\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\">Struvite\/infectious stones (5-10%)<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse37342\" data-parent=\"#sp-ea-3734\" role=\"region\" aria-labelledby=\"ea-header-37342\"> <div class=\"ea-body\"><ul><li>Therapy with a suitable antibiotic<\/li><\/ul><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-37343\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse37343\" aria-controls=\"collapse37343\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\">Cystine stones (0.5%)<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse37343\" data-parent=\"#sp-ea-3734\" role=\"region\" aria-labelledby=\"ea-header-37343\"> <div class=\"ea-body\"><ul><li>For adults, fluid intake of more than 3.5 litres per day<\/li><li>Alkalization therapy<\/li><\/ul><\/div><\/div><\/div><\/div><\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>About kidney stones \u2014 One of the mostcommon urological diseases.What is urolithiasis?Urolithiasis refers to the formation of stones in the urinary tract. These can occur in the renal pelvis, ureter, urinary bladder or urethra. Urinary stone disease is one of the most common complaints worldwide. It is considered a widespread disease. Its frequency is increasing in many countries. The reasons for this are changes in lifestyle and unhealthy eating habits, but improved medical diagnostics are also contributing to higher case numbers.Modern ultrasound devices and CT procedures enable urinary stones to be detected more frequently. Treatment is usually minimally invasive. However, the recurrence rate is up to 50%. &nbsp;Worldwide106 Mcases in 2021.Increase in kidney stone prevalence:37%in the last 20 years.Recurrence occurs in up to 50%of kidney stone patients.Residual fragments increase the RISK of recurrence.Kidney stones.One of the most common uro&shy;logical diseases.The incidence of urinary stones varies between 1% and 20% worldwide. The prevalence is particularly high (over 10%) in countries with a high standard of living, such as Sweden, Canada or the USA. Some regions have recorded an increase of more than 37% in the last 20 years. There is an increasing link between kidney stones and the risk of chronic [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"class_list":["post-3566","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>About kidney stones - mediNiK\u00ae<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.medinik.de\/en\/about-kidney-stones\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"About kidney stones - mediNiK\u00ae\" \/>\n<meta property=\"og:description\" content=\"About kidney stones \u2014 One of the mostcommon urological diseases.What is urolithiasis?Urolithiasis refers to the formation of stones in the urinary tract. These can occur in the renal pelvis, ureter, urinary bladder or urethra. Urinary stone disease is one of the most common complaints worldwide. It is considered a widespread disease. Its frequency is increasing in many countries. The reasons for this are changes in lifestyle and unhealthy eating habits, but improved medical diagnostics are also contributing to higher case numbers.Modern ultrasound devices and CT procedures enable urinary stones to be detected more frequently. Treatment is usually minimally invasive. However, the recurrence rate is up to 50%. &nbsp;Worldwide106 Mcases in 2021.Increase in kidney stone prevalence:37%in the last 20 years.Recurrence occurs in up to 50%of kidney stone patients.Residual fragments increase the RISK of recurrence.Kidney stones.One of the most common uro&shy;logical diseases.The incidence of urinary stones varies between 1% and 20% worldwide. The prevalence is particularly high (over 10%) in countries with a high standard of living, such as Sweden, Canada or the USA. Some regions have recorded an increase of more than 37% in the last 20 years. There is an increasing link between kidney stones and the risk of chronic [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.medinik.de\/en\/about-kidney-stones\/\" \/>\n<meta property=\"og:site_name\" content=\"mediNiK\u00ae\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-19T09:03:58+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.medinik.de\/wp-content\/uploads\/2024\/09\/mediNik-Purenum_64x64.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"12 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.medinik.de\\\/en\\\/about-kidney-stones\\\/\",\"url\":\"https:\\\/\\\/www.medinik.de\\\/en\\\/about-kidney-stones\\\/\",\"name\":\"About kidney stones - mediNiK\u00ae\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.medinik.de\\\/en\\\/#website\"},\"datePublished\":\"2024-08-20T14:52:40+00:00\",\"dateModified\":\"2026-02-19T09:03:58+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.medinik.de\\\/en\\\/about-kidney-stones\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.medinik.de\\\/en\\\/about-kidney-stones\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.medinik.de\\\/en\\\/about-kidney-stones\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Startseite\",\"item\":\"https:\\\/\\\/www.medinik.de\\\/en\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"About kidney stones\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.medinik.de\\\/en\\\/#website\",\"url\":\"https:\\\/\\\/www.medinik.de\\\/en\\\/\",\"name\":\"mediNiK\u00ae\",\"description\":\"Der neue Standard. Steinfrei mit mediNiK\u00ae\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.medinik.de\\\/en\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"About kidney stones - mediNiK\u00ae","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.medinik.de\/en\/about-kidney-stones\/","og_locale":"en_US","og_type":"article","og_title":"About kidney stones - mediNiK\u00ae","og_description":"About kidney stones \u2014 One of the mostcommon urological diseases.What is urolithiasis?Urolithiasis refers to the formation of stones in the urinary tract. These can occur in the renal pelvis, ureter, urinary bladder or urethra. Urinary stone disease is one of the most common complaints worldwide. It is considered a widespread disease. Its frequency is increasing in many countries. The reasons for this are changes in lifestyle and unhealthy eating habits, but improved medical diagnostics are also contributing to higher case numbers.Modern ultrasound devices and CT procedures enable urinary stones to be detected more frequently. Treatment is usually minimally invasive. However, the recurrence rate is up to 50%. &nbsp;Worldwide106 Mcases in 2021.Increase in kidney stone prevalence:37%in the last 20 years.Recurrence occurs in up to 50%of kidney stone patients.Residual fragments increase the RISK of recurrence.Kidney stones.One of the most common uro&shy;logical diseases.The incidence of urinary stones varies between 1% and 20% worldwide. The prevalence is particularly high (over 10%) in countries with a high standard of living, such as Sweden, Canada or the USA. Some regions have recorded an increase of more than 37% in the last 20 years. 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