MULTICENTRIC PROGRAM OF UROLITHIASIS INVESTIGATION IN THE REPUBLIC OF CROATIA
Main researcher
: TUCAK, ANTUN (28290) Assistants
GOTOVAC, JOSIP (78576)
KOZMAR, DRAGUTIN (103370)
KARNER, IVAN (103355)
UGRAI, VERA (103366)
MATOŠ, IVICA (63230)
PELJHAN, VLADIMIR (84911)
VALEK, MARINA (68643)
VENŽERA, ZLATKO (103651)
GALIĆ, JOSIP (40535)
KOPROLČEC, DALIBOR (69962)
MANDIĆ, LIDIJA (83153)
PRLIĆ, DAMIR (900534)
Type of research: applied Duration from: 01/01/91. to 12/31/94. Papers on project (total): 65
Papers on project quoted in Current Contents: 2
Institution name: Bolnica, Znanstvena jedinica za klinička medicinska istraživanja, Osijek (127) Department/Institute: Unit for Medical Research Clinic of urology Address: J. Huttlera 4 City: 31000 - Osijek, Croatia
Communication
Phone: 385 (0)54 554823
Fax: 385 (0)54 554823
Summary: The urinary stone is a very frequent health problem.
Theepidemiological studies show increase in the frequency of theupper
urinary tract stones in developed countries. Differentauthors report that
urinary stones are cause of hospitalizationin 1-3 percent hospitalized
patients or 15-24% patients aturological department. A general estimation
is that in developedcountries 10% of male and 4% of female population
suffer fromthe renal stone disease. The urinary stone have a high
recurrencerate as high as 80%. The urolithiasis occurs most often in
theperiod of the person highest activity, between the age of 30
and 50 years. The investigation of urolithiasis was performedfrom the
various aspects. However, the pathogenesis ofurolithiasis is unknown so
far. In the treatment of urolithiasis exist two principal treatment
approaches. The first treatment ofurolithiasis is surgical. This treatment
has been improved by theusing new techniques like the Extracorporeal shock
wavelithotripsy ESWL. The second is medicament treatment, which mainaim is
prevention of the urinary stones. The long lasting effectsof the ESWL
treatment on the human body, particularly on therenal function has not been
investigated so far. In 90% of thefrequent stone former a metabolic
disorders could be find. Thus,the metabolic elaboration of the stone former
gives usopportunity to prevent the urolithisais. In the world
existsenormous interests for the investigation of the urolithiasis withthe
goal to introduce pathogenesis of the urolithiasis and to
introduce a methods for the finding the risk factors inpathogenesis of the
urinary stones. Because that the Multicentricprogram of the urolithiasis
investigation in the Republic ofCroatia has the justification and the
significance.
Keywords: Multicentric program of investigation, urolithiasis, calculogenesis, calcium intake, hypercalciuria, hyperparathyroidism, stone analysis, ESWL.
Research goals: The goals of this proposal are investigation of the
pathogenesis, the ways of diagnosis and the prevention of the urolithiasis.
We will make emphasis on the pathogenesis of the urolithiasis in frequent
stone former which does not have a known metabolic disorder in the
background and where we are not able for the medicament prevention of the
urolithiasis. We will investigate the epidemiological situation of the
urolithiasis in the Republic of Croatia, and the role of microclimate
factors in the forming of the urinary stones. These data we will use for
the making the epidemiological map of the urolithiasis in the Republic of
Croatia. In our clinic we performed the ESWL treatment of the urolithiasis
and we are able to follow up effects of this treatment on the human body
with special emphasis on the renal function. We have large group of the
patients treated by the ESWL and in whom has been used endoureteral device
"double J". Thus, we are able to follow up these patients. Our goal is to
continue our investigation and by the multicentric approach to find out
more about this great problem of the national pathology. Our findings and
experience will make improve in the work of primary medicine.
COOPERATION - PROJECTS
Name of project
: EEZ,CI1-0345-YuA Metabolička i fiziško-kemijska
istraživanja za određivanje rizika i prevanciju stvaranja bubrežnih
kamenaca Name of institution: Odjel za tehnologiju, nuklearnu energiju i
zaštitu, Institut "Ruđer Bošković" City: 10000 - Zagreb, Croatia
Name of project
: EEZ,CI1-0345-YuA Metabolička i fizičko-kemijska
istraživanja za određivanje rizika i prevenciju stvaranja bubrežnih
kamenaca Name of institution: Institut za medicinska istraživanja i medicinu
rada City: 10000 - Zagreb, Croatia
Name of project
: EEZ,CI1-0345-YuA Metabolic and physico-chemical
studies underlying the assesment of the risk and the prevention of kidney
stone formation. Name of institution: Wissenschaftliches Labor, Urologische Klinik
und Poliklinik, Klinikum der Philipps - Universitat Marburg City: Marburg, Germany
Name of project
: EEZ,CI1-0345-YuA Metabolic and physico-chemical
studies underlying the assesment of the risk and the prevention of kidney
stone formation Name of institution: Urologishen Klinik Fulda City: Fulda, Germany
COOPERATION - INSTITUTIONS
Name of institution
: Urološka klinika, KB "Firule" Type of institution: University/Faculty City: 21000 - Split, Croatia
Name of institution
: Urološka klinika, KBC "Sestre milosrdnice" Type of institution: University/Faculty City: 10000 - Zagreb, Croatia
Name of institution
: OB Vukovar Type of institution: International organization City: Vukovar, Hrvatska
Name of institution
: OB Vinkovci Type of institution: International organization City: 32000 - Vinkovci, Croatia
Name of institution
: OB Slavonski Brod Type of institution: International organization City: 35000 - Slavonski Brod, Croatia
Name of institution
: MC Našice Type of institution: International organization City: Našice, Hrvatska
Name of institution
: MC Požega Type of institution: International organization City: Požega, Hrvatska
Name of institution
: MC Virovitica Type of institution: International organization City: Virovitica, Hrvatska
Name of institution
: MC Koprivnica Type of institution: International organization City: 48300 - Koprivnica, Croatia