Kidney Diseases

Benign prostate enlargement

Benign prostatic enlargement (BPE) is extremely common. It has been estimated that about half of all men aged 80 years and over will have lower urinary tract symptoms associated with BPE.

Clinical features
The primary symptoms of BPE arise because of difficulty in voiding urine due to obstruction of the urethra by the prostate; they consist of hesitancy, poor urinary flow and a sensation of incomplete emptying. Other symptoms include urinary frequency, urgency of micturition
and urge incontinence, although these are not specific to BPE.

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Renal stone disease

It is common, affecting individuals of all countries and ethnic groups. In some regions, the risk is higher, most notably in countries like Saudi Arabia, where the lifetime risk of developing a renal stone in men aged 60–70 is just over 20%.

Causes

Environmental and dietary causes

  • Low urine volumes: high ambient temperatures, low fluid intake
  • Diet: high protein, high sodium, low calcium
  • High sodium excretion
  • High oxalate excretion
  • High urate excretion
  • Low citrate excretion

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Urinary tract infection

Urinary tract infection (UTI) is the term used to describe acute urethritis and cystitis caused by a microorganism. It is a common disorder accounting for 1–3% of consultations in general medical practice. The prevalence of UTI in women is about 3% at the age of 20, increasing by about 1% in each subsequent decade.

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