

Possibilities of including osteopathic methods of correction in the complex treatment of urolithiasis
https://doi.org/10.32885/2220-0975-2025-2-117-126
Abstract
Urolithiasis and its symptomatic recurrences are one of the most common urological diseases in people of working age and is characterised by a high prevalence of complicated forms, in some cases leading to disability of the patient. Despite the fairly high study of the problem, the treatment of urolithiasis is still quite a serious task for clinicians. Optimal is a combination of medication and non-medication methods of treatment. The questions of introduction of new methods of pain syndrome correction and improvement of stone excretion in uncomplicated form of urolithiasis in order to reduce the medication load on the organism, prevent further increase in the size of concrements, and, as a consequence, the development of complications requiring surgical intervention, as well as the search for ways to prevent complications is of interest to the medical community. A case from practice is described, dedicated to the isolated use (monotherapy) of osteopathic correction in a patient with urolithiasis.
About the Author
E. N. NenashkinaRussian Federation
Elvira N. Nenashkina, Department of Osteopathy with a Course of Functional and Integrative Medicine, Assistant; obstetrician-gynecologist, doctor of ultrasonic diagnostics, osteopathic physician
bld. 41 ul. Kirochnaya, Saint-Petersburg, Russia 191015
bld. 1 lit. A ul. Degtyarnaya, Saint-Petersburg, Russia 191024
bld. 7/9 Universitetskaya nab., Saint-Petersburg, Russia 199034
bld. 1 lit. A ul. Degtyarnaya, Saint-Petersburg, Russia 191024
References
1. Nazarov T. Kh., Akhmedov M. A., Rychkov I. V. et al. Urolithiasis: etiopathogenesis, diagnosis and treatment. Androl. i genitalnaya khir. 2019; 20 (3): 43–51. https://doi.org/10.17650/2070-9781-2019-20-3-43-51 (in russ.).
2. Obshcherossiiskaya obshchestvennaya organizatsiya «Rossiyskoe obshchestvo urologov». Clinical guidelines: Urolithiasis. M.; 2024 (in russ.).
3. Kryuchkov I. A., Chekhonatskaya M. L., Rossolovskiy A. N., Bobylev D. A. Urolithiasis: etiology and diagnosis (literature review). Byul. med. internet-konferentsii. 2017; 7 (2): 517–521 (in russ.).
4. Baketin P. S., Mollaev R. A., Mazurenko D. A. et al. Pathogenetic variants of urolithiasis. Pediatr. 2017; 8 (1): 95–105. https://doi.org/10.17816/PED8195-105 (in russ.).
5. Gadzhiev N. K., Malkhasyan V. A., Mazurenko D. A. et al. Urolithiasis and the pathophysiology of stone formation. Eksper. i klin. urol. 2018; 1: 66–75. https://doi.org/10.29188/2222-8543-2018-9-1-66-75 (in russ.).
6. Türk C., Skolarikos A., Neisius A. et al. EAU Guidelines. Urolithiasis // In: Presented at the EAU Annual Congress Barcelona; 2019: 34–35.
7. Plot C., Evliyaoglu O., Erkan R. E. C. et al. Comparison of urine microscopy and urine culture results of patients considered to have urinary tract infection. Amer. J. Exp. Clin. Res. 2015; 2 (3): 118–120.
8. Martov A. G., Ergakov D. V. Modern management of urolithiasis: A focus on improving outcomes. Eksper. i klin. urol. 2020; 3: 65–70. https://doi.org/10.29188/2222-8543-2020-12-3-65-70 (in russ.).
9. Yuan C., Jian Z., Jin X. et al. Effi cacy and safety of external physical vibration lithecbole after extracorporeal shock wave lithotripsy or retrograde intrarenal surgery for urinary stone: A systematic review and meta-analysis. J. Endourol. 2021; 35 (5): 712–720. https://doi.org/10.1089/end.2020.0820
10. Turgut H. Evaluation of the effi cacy of sexual intercourse on distal ureteral stones in women: a prospective, randomized, controlled study. Int. Urol. Nephrol. 2021; 53 (3): 409–413. https://doi.org/10.1007/s11255-020-02661-1
11. Bayraktar Z., Albayrak S. Sexual intercourse as a new option in the medical expulsive therapy of distal ureteral stones in males: A prospective, randomized, controlled study. Int. Urol. Nephrol. 2017; 49 (11): 1941–1946. https://doi.org/10.1007/s11255-017-1677-9
12. Xu B., Yan H., Zhang X., Cui Y. Meta-analysis of the effi cacy of sexual intercourse for distal ureteric stones. J. Int. Med. Res. 2019; 47 (2): 497–504. https://doi.org/10.1177/0300060518814116
13. Mokhov D. E., Tregubova E. S., Potekhina Yu. P. Osteopathy and its restorative potential. St. Petersburg: Nevskiy rakurs; 2020 (in russ.).
14. Mokhov D. E., Belash V. O., Aptekar I. A., Nenashkina E. N., Potekhina Yu. P., Tregubova E. S., Belyaev A. F. Somatic dysfunction: Clinical guidelines 2023. Russ. Osteopath. J. 2023; 2: 8–90. https://doi.org/10.32885/2220-0975-2023-2-8-90 (in russ.).
15. Scott J., Huskisson Ec. Graphic representation of pain. Pain. 1976; 2 (2): 175–184.
16. Doskin V. A., Lavrenteva N. A., Miroshnikov M. P., Sharai V. B. Test of differentiated self-assessment of functional state. Vopr. psikhol. 1973; 6: 141–146 (in russ.).
Review
For citations:
Nenashkina E.N. Possibilities of including osteopathic methods of correction in the complex treatment of urolithiasis. Russian Osteopathic Journal. 2025;(2):117-126. (In Russ.) https://doi.org/10.32885/2220-0975-2025-2-117-126