Infrared Spectroscopy Analysis of Urinary Calculi

Kim, Joon Ho; Chai, Soo Eung

Abstract

Accurate analysis of urinary calculi is fundamental for study of the etiology of stone formation and essential for treatment of urinary stone and its prevention. Among various methods for stone analysis, infrared spectroscopy analysis may be an ideal method to determine the accurate composition of urinary calculi by simple procedure in a short time. We have analyzed 100 urinary calculi by infrared spectroscopy with KBr tablet method. Stones were obtained from the patients visited our hospital during the period from January, 1980 to December, 1981. The following results were obtained: 1. Mixed stone (68%) is more common than pure stone (32%) . The most common type of calculus is calcium oxalate-tribasic calcium phosphate (57%) . The common type of component is calcium oxalate (47.3%) . 2. Calcium oxalate and tribasic calcium phosphate are contained most frequently in renal, ureteral and bladder stones. 3. Uric acid and cystine stones are found in acid urine, and most of magnesium ammonium phosphate and tribasic phosphate stones were found in alkaline urine. Calcium oxalate stones are found in urine with wider range of pH. 4. 30 of 100 patients have bacteriuria on culture. 10 of 13 patients with struvite stones showed bacteriuria and most of them are urea-splitting organisms.5. 5 cases of 16 laminated calculi contain the different components in nucleus and outer layer.