Features of the Clinical Course of Urolithiasis in Combatants

The objective: to analyze the course of urolithiasis in patients who are combatants and military personnel who were not in the combat zone. Materials and methods. An analysis of the treatment results of 62 patients with urolithiasis, who underwent treatment and subsequent observation at the urological department of the State Institution “Main Medical Center of the Ministry of Internal Affairs of Ukraine” from 2014 to 2023, was conducted. All patients were divided into 2 groups. In the first group (n=30), there were patients who were active employees of the Ministry of Internal Affairs of Ukraine and did not participate in combat actions. In the second group (n=32), there were servicemen of the National Guard of Ukraine who were brought to the hospital directly from the active combat zone. Results. During the treatment, spontaneous passage of the calculus was observed in 12 (19.3%) patients, with 5 (16.6%) patients in the first group and 7 (21.8%) patients in the second group. Remote shock wave lithotripsy was performed in 15 (50%) patients in the first group and 7 (28.12%) patients in the second group. Contact laser ureterolithotripsy ranked second among surgical interventions – 10 (33.3%) patients in the first group and 13 (40.6%) patients in the second group. Percutaneous nephrolithotripsy was performed only in 1 patient in the second group. Open lithotomy was performed in 2 (3.2%) patients, specifically in 2 patients in the second group. Conclusions. Analyzing and comparing the data of both groups, it was found that there is no significant difference in the course, clinical manifestations, and treatment of patients with urolithiasis who are active participants in combat actions and patients with urolithiasis who are active employees of the Ministry of Internal Affairs of Ukraine.