Department of Urology, Great Western Hospital Swindon, Swindon, UK.
Department of Urology, Haukeland University Hospital, Bergen, Norway.
Curr Urol Rep. 2021 Oct 8;22(10):50. doi: 10.1007/s11934-021-01066-6.
The prevalence of kidney stones is rising and historically carries a preponderance for males. However, recent evidence has questioned whether this gender gap is closing. The aim of this systematic review was to examine this further as well as evaluate possible underlying causes.
Recent evidence confirms the disparity in kidney stone disease between genders is closing. In the modern era, the rise in prevalence among females has been greater, especially in adolescence. Quality of life is also more adversely affected by kidney stone events among females who are also more likely to develop sepsis after endourological surgery. Males, however, are more likely to present with stone events during periods of high ambient temperatures Recent literature demonstrates a temporal change in the disease burden of KSD among men and women. The latter, especially adolescent females, are more likely to develop KSD in their lifetime compared to previous eras. Determining causation is complex and continued research is warranted.
肾结石的患病率正在上升,历史上男性居多。然而,最近的证据质疑这种性别差距是否正在缩小。本系统综述的目的是进一步研究这一点,并评估潜在的原因。
最近的证据证实了性别之间肾结石疾病的差异正在缩小。在现代,女性患病率的上升更为明显,尤其是在青春期。女性的生活质量也因肾结石事件受到更大的影响,而且在接受内镜手术后更有可能发生败血症。然而,男性在高温环境下更有可能出现结石事件。最近的文献表明,男性和女性的 KSD 疾病负担发生了时间上的变化。与前几个时代相比,后者,尤其是青春期女性,更有可能在其一生中患上 KSD。确定病因很复杂,需要进一步研究。