Fast Five Quiz: Primary Hyperoxaluria Type 1 Management

Bradley Schwartz, DO


March 04, 2022

The treatment of kidney stones in patients with PH1 is a challenging enterprise that often requires specialist referral. In at-risk patients on renal replacement therapy, bilateral nephrectomy may be considered to minimize the risk for further infection, obstruction and passage of stones.

Open and percutaneous surgery should be avoided where possible because further renal lesions will alter the glomerular filtration rate.

Extracorporeal shock-wave lithotripsy is an option for certain patients; however, the presence of nephrocalcinosis may be responsible for parenchymal damage.

Learn more about the management of kidney stones in patients with PH1.


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