Abstract
Evidence is produced to suggest that rise in the urinary pH is likely to be the chief factor in the formation of urinary stones in the paraplegic patient and it is suggested that the introduction of antibiotic therapy has been responsible for the fall in the incidence of stone formation which followed the second world war.
Despite this, small bladder stones and catheter encrustations are still commonly seen and we believe that the use of suprapubic plastic or silastic catheters in the acute phase merits further investigation.
Comments are also made on the possibility of renal tubular acidosis occurring after spinal injury.
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Blossom, R A & Affeldt, J E (1956). Amer. J. Med. 20, 77.
Chaney, A L & Marbach, E P (1962). Clim. Chem. 8, 130.
Cochran, M, Peacock, M, Smith, D A & Nordin, B E C (1968). Brit. med. J. 1, 721.
Comarr, A E (1955). J. Urol. 74, 447.
Cook, J B & Smith, P H (1968). Int. J. Paraplegia, 6, 11.
Davies, H E F & Wrong, O (1957). Lancet, 2, 625.
Dawson, J B & Heaton, F W (1961). Biochem. J. 80, 99.
Dietrick, J E, Wheldon, G D & Shorr, E (1948). Amer. J. Med. 4, 3.
Elliot, J S & Todd, H E (1961). J. Urol. 86, 484.
Flocks, R H (1945). J. Urol. 53, 427.
Guttmann, L & Frankel, H (1966). Int. J. Paraplegia, 4, 63.
Leadbetter, W R & Engster, H E (1945). J. Urol. 53, 269.
McFayden, I J, Nordin, B E C, Smith, D A, Wayne, D J & Rae, S L (1965). Brit. med. J. 1, 161.
Plum, F (1958). J. Amer. Med. Ass. 168, 1302.
Prather, G C (1947). J. Urol. 57, 1097.
Pulvertaft, R G (1939). J. Bone and Joint Surgery, 21, 559.
Pyrah, L N & Fowweather, F S (1938). Brit. J. Surg. 26, 98.
Riches, E W (1943a). Brit. J. Surg. 31, 135.
Riches, E W (1943b). Lancet, 2, 128.
Robertson, W G, Peacock, M & Nordin, B E C (1968). Clin. Sci. 34, 579.
Taylor, J E, Alcock, A J W & Hildes, J A (1956). Canad., ed. Ass. J. 75, 29.
Wheldon, G D, Dieitrick, J E & Shorr, E (1949). Amer. J. Med. 6, 684.
Zarembski, P M & Hodgkinson, A (1965a). Biochem. J. 96, 218.
Zarembski, P M & Hodgkinson, A (19656). Biochem. J. 96, 714.
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Smith, P., Cook, J. & Robertson, W. Stone formation in paraplegia. Spinal Cord 7, 77–85 (1969). https://doi.org/10.1038/sc.1969.15
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DOI: https://doi.org/10.1038/sc.1969.15
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