Current status: The recurrence of urinary stones is common, according to research results. Prevention of urolithiasis, especially of recurrent cases, is essential. Information about the disease, causes of urolithiasis and preventive regime are the basic principles. The patient should not only be informed about drinking and dietary regime after removal of the stone, but he should be motivated to fulfil these recommendations. Metaphylaxy is complex treatment regime; aim of whist is prevention of stone recurrence Methods: The research part was based on quantitative survey. Questionnaire, consisting of 22 questions, was used for survey.. The survey was performed at the Department of Urology, Region Hospital Ceske Budejovice since January 2011 till December 2013. Patients, where first stone was diagnosed, were involved. SPSS programme was used to evaluate results of quantitative survey. Medical recodes was used for secondary analysis of data of primary stone patients treated at the Department of Urology, Region Hospital Ceske Budejovice since 2009 till 2013. Microsoft Office Excel 2007 and SPSS programme was used for statistical analysis. The hypotheses were tested by using of Chí quadrat test. Patients: The patients with primary urinary tract stones, diagnosed in 2012 and 2013, were selected for survey. There were included 184 patients in 2012 and 102 patients in 2013. 150 patients had been addressed by questionnaire and 123 patients responded. The secondary analysis of data of patients treated for primary urinary stones at the Department of Urology, Region Hospital Ceske Budejovice since 2009 till 2013, was performed on 644 patients. Results: 644 patients were found as patients treated for primary stone at the Department of Urology, Region Hospital Ceske Budejovice since 2009 till 2013. This is in concordance with research goal: "Find, how many urinary stones patients were diagnosed at the Department of Urology, Region Hospital Ceske Budejovice since 2009 till 2013". The second research goal was: "Identify differences in dietary habits in urinary stones patients." There was fund a difference in meat intake between men and women. Decreasing trend in meat intake according to age was found, too. No difference in sugar intake was found intake between men and women. The third research goal was: " Identify the fluid intake in in urinary stones patients." There was found average fluid intake per day of 1 922 ml in women and 2 127 ml in men. The last research goal was: " Identify willingness of the patients to change their drinking and dietary regime." The willingness to to change drinking and dietary regime is affected by age of the patient, profession, way of stone removal and quality of information about to change their drinking and dietary regime. Conclusions: The drinking and dietary regime, in context with life style information, is basic for prevention of urinary stones. Fluid intake, dietary habits, physical activity, weight reduction, stress release are essential factors. The motivation, including clear and detailed information of the patient is important for compliance. The results of the theses will be offered for publishing in peer reviewed journal Urologie pro praxi.

Submitted by (edna.saturno@ufrpe.br) on 2016-10-20T16:03:20Z No. of bitstreams: 1 Mucio Veloso de Moarais.pdf: 837045 bytes, checksum: 867f9892acaac56c2811fddaf38aaa4e (MD5) / Made available in DSpace on 2016-10-20T16:03:20Z (GMT). No. of bitstreams: 1 Mucio Veloso de Moarais.pdf: 837045 bytes, checksum: 867f9892acaac56c2811fddaf38aaa4e (MD5) Previous issue date: 2012-02-20 / The present work aimed to conduct a study of clinical, epidemiological and laboratory data of 62 sheep and goats from 2001 up to 2011. During this period, it was found that the disease was predominant in sheep with 83.7% of the animals, while for the caprine, it occurred in 16.3%. The most predominant races in sheep were the Santa Ines, in ovine with 71.7% and SRD, in caprine, with 33.33%. There was a predominance in animals less than three years old. In both species, the highest occurrence was found in the dry season with 67.9%. Most animals (75.8%) were kept under intensive farming, with a diet based on concentrate and forage (88.7%) and 85.5% received mineral supplementation. The predominant clinical signs were apathy, pain, dehydration, conjunctive hyperemic mucosa, tachycardia, tachypnea, anorexia, dysuria and anuria. The mortality rate was very high with 40.3% of the animals dying and 16.1% being sacrificed. In the haemogram, leukocytosis was observed with regenerative deviation to the left in goats, and hyperfibrinogenemia. In serum biochemistry, increased urea and creatinine was found which led the animals to a perspective of azotenia and increase of GGT and CK enzymes. The serum levels of calcium, phosphorus and magnesium, were beyond the normal patterns for the species with low Ca and high P and Mg levels. The findings of urinalysis revealed hematuria in 72.2% of animals with acid pH of urine (44.4%) as well as alkaline (55.56%). In the sedimentoscopy, erythrocytes predominated in 66.6% of the samples, epithelial cells in 66.6% of the samples and crystals of various compositions. Regarding the composition of urolites, it was found that 62.5% was oxalate, 8.32% phosphate and 8.33% penicillin. In the conclusion of this study, it was observed that the obstructive urolithiasis is a disease of poor prognosis and can lead to loss of valuable livestock animals, and therefore, serious losses in production. / Considerando-se a importância clínica e econômica da urolitíase obstrutiva para a produção de pequenos ruminantes, objetivou-se desenvolver um estudo dessa enfermidade em caprinos e ovinos. Para tanto, utilizou-se dados dos prontuários de 62 animais atendidos no período de 2001 a 2011, considerando-se variáveis epidemiológicas, clínicas, urinálise, hemograma, funções hepática, renal e muscular, glicose, perfil sérico de cálcio, fósforo e magnésio, além da análise da composição química dos urólitos, compondo o estudo descritivo. A urolitíase obstrutiva observada em 5,1% dos animais estudados. A espécie ovina foi a mais acometida, assim como as raças Santa Inês e Dorper. A maior ocorrência da doença se deu em animais com menos de três anos, no período seco, criados sob regime intensivo, cuja dieta era a base de concentrados (ad libitum) e forragem. Dos acometidos 43,6% receberam alta, 40,3% foram a óbito e 16,1% foram eutanaziados. Dentre os achados clínicos mais frequentes observou-se alterações da micção; desidratação; congestão das mucosas conjuntivas; sinais de dor; diminuição ou ausência de motilidade ruminal; taquicardia; alterações do comportamento e do apetite e; taquipnéia. Nos exames laboratoriais observou-se leucocitose com desvio à esquerda regenerativo nos caprinos, hiperfibrinogemia, valores da creatinina e da uréia elevados, enzimas GGT e CK também elevadas, hiperglicemia e, níveis de Ca, P e Mg desbalanceados. A urina apresentou-se turva, com hematúria, proteinúria, acidúria e alcalinúria, além de baixa densidade. No tocante a sedimentoscopia observou-se o aumento de hemácias e leucócitos, células do epitélio uretral e renal, além de bactérias. Houve predominância de oxalato na composição dos urólitos, porém 8,33% dos urólitos eram compostos de penicilina. A urolitíase obstrutiva acomete mais animais confinados, alimentados com dietas desbalanceadas a base de concentrado. Os exames laboratoriais mostraram ser importantes para o diagnóstico de urolitíase obstrutiva.