Litolytic therapy in patients with an untrained kidney

The analysis of the results of litolytic therapy in 55 patients with urate lithiasis with an untrained kidney was considered. When investigating the causes of the ineffectiveness of litolytic therapy in 20 patients, it was revealed that 13 patients did not fully carry out litolytic therapy and did not adhere to a diet with a restriction of purines. In 3 patients with ineffective drug therapy, the chemical composition of the stone was represented by ammonium urate. In 3 patients, the cause of inefficiency was a combination of items 1 and 2.