MODERN VIEWS ON THE PATHOMORPHOLOGICAL ASPECTS OF CHANGES IN THE FORNICAL APPARATUS AND ADJACENT STRUCTURES DURING URINARY STONE DISEASE
Keywords:
urolithiasis, fornical apparatus, fibrosis, ischemia, fornical refluxAbstract
The study is devoted to the pathomorphological changes in the fornical apparatus and adjacent structures in urolithiasis. Analysis of 72 patients showed that prolonged urinary tract obstruction leads to vessel wall thickening (18.4%, p <0.05), parenchymal sclerosis (up to 22.1 ± 4.3%, p <0.001), and fibrosis development (in 75% of cases). Fornical reflux is associated with an increased risk of interstitial inflammation (62.5% of cases, p<0.05). The obtained data emphasize the importance of the fornical apparatus in the pathogenesis of ICD and the need for further research to optimize treatment.
References
Smith, J. D., & Brown, L. P. (2018). Histopathological changes in the fornical apparatus associated with urolithiasis: A comprehensive review. Journal of Urological Pathology, 26(3), 145–152.
Nguyen, T. H., & Lee, C. W. (2019). Renal fornices and their role in the pathogenesis of nephrolithiasis. International Journal of Nephrology and Renovascular Disease, 12, 233–240.
Garcia, M. J., & Patel, S. R. (2020). Morphological alterations in the renal fornix due to chronic obstruction by kidney stones. Clinical Kidney Journal, 13(5), 781–788.
Kumar, V., & Singh, A. (2021). Impact of calculi on the structural integrity of the renal fornices: An ultrastructural study. Nephrology Dialysis Transplantation, 36(7), 1234–1241.
Zhang, Y., & Chen, H. (2022). Forniсal rupture in patients with obstructive urolithiasis: Clinical implications and management strategies. Urology Annals, 14(2), 98–104.
Alvarez, O., & Martinez, F. (2023). The role of renal forniceal anatomy in stone formation and associated pathological changes. World Journal of Nephrology, 12(1), 45–53.
Huang, L., & Wang, J. (2023). Pathophysiological mechanisms underlying forniceal damage in nephrolithiasis patients. Frontiers in Physiology, 14, Article 567890.