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PubMed2002

Struvite precipitation from anaerobically treated municipal and landfill wastewaters.

A two-stage treatment system including upflow anaerobic sludge blanket reactor pre-treatment combined with a chemical post treatment system such as magnesium ammonium phosphate (MAP) precipitation was proposed as a comparable alternative to conventional biological treatment. In this study, anaerobically pre-treated domestic wastewater, domestic wastewater mixed with 2% and 3% of leachate by volume and raw leachate were further treated chemically with MAP precipitation. MAP precipitation was both applied at the stoichiometric ratio (Mg:NH4=PO4; 1:1:1) and above the stoichiometric ratio (1.1:1:1 and 1.1:1:1.1) on domestic wastewater + 3% leachate mixture. Maximum NH4-N removal of 68% was achieved at the pH of 9.2 at the stoichiometric ratio, whereas at the same pH value 70 to 72% NH4-N removal was obtained above the stoichiometric ratio. Additional ammonia recovery studies were conducted on Fenton's oxidation applied effluents before MAP precipitation and no significant additional ammonium removal was achieved. However, by the application of Fenton's oxidation high additional COD removals were obtained. Consequently, chemical treatment by MAP precipitation and/or Fenton's oxidation after anaerobic treatment yielded very effective removals for COD and NH4-N in domestic wastewaters + leachate mixtures.

Ammonia↗
PubMed1991

[Long ureteral ammonium-magnesium phosphate (struvite) and calcium phospho-carbonate calculi].

The authors report about 12 cases of long ureteral calculi, 16 to 39 mm in size, observed over 10 years. They were all made of a mixture of ammonium-magnesium phosphate and calcium phosphocarbonate. Infection was the revealing symptom, either in the form of simple bacteriuria or as acute pyelonephritis or sepsis. These calculi, found in a lumbar or pelvic location, were very long, radiopaque but with a moderate radiological density, homogeneous and have regular contours. They were straight, sometimes slightly bent, rarely (one case out of 12) arciform. In 11 of 12 cases, the affected patient was female. In most cases, the urine was infected by Proteus mirabilis. In spite of their size, the calculi caused total obstruction in 3 of 12 cases only. They were or were not associated to ipsilateral coral calculi of the same chemical type. Destruction was easily achieved with physical agents. The etiological, radiological and therapeutic characteristics of these calculi give them a specific place among ammonium-magnesium phosphate calculi.

Adult↗
PubMed1988

[Dissolution therapy of struvite calculi with solution G].

In 6 patients (9 kidneys) irrigation with Solution G in the renal pelvis was performed for the dissolution of their infectious stones. Staghorn calculi larger than 30 mm in diameter were observed in all patients. In two kidneys all stones were dissolved and the rest were dissolved into small fragments that constituted no problem in those kidneys. Irrigation was done with no major side effects or complications. The dissolution of infectious stones with Solution G is another possible treatment that could be first chosen among percutaneous nephrolithotripsy, extracorporeal shock wave lithotripsy and other treatments.

Adolescent↗
PubMed1984

Urinary acidification in the prevention and treatment of feline struvite urolithiasis.

Two groups of 12 cats were fed ad libitum an experimental dry expanded ration high in magnesium (0.37%, dry matter basis) and similar to most commercial dry cat foods in all other nutrients. The diet of one of the groups contained 1.5% ammonium chloride, which was added to the diet before processing. Urethral obstruction developed twice in 7 of the 12 cats fed the ration without ammonium chloride. Of the 5 remaining cats in that group, 2 had calculi in the urinary bladder and urethra at necropsy. In contrast, only 2 of the 12 cats fed the ration containing ammonium chloride had urethral blockage once; neither cat had another blockage. Both cats had been catheterized twice as paired controls before urethral obstruction. One of these 2 cats died from a urinary tract infection apparently introduced through the indwelling catheter, and at necropsy there were 2 small calculi in the urethra. At the end of the study, only 1 other cat fed the ammonium chloride diet had a calculus in the urinary bladder at necropsy; this cat had not had a urethral obstruction throughout the study. After each cat had 2 urethral blockages, its diet was changed. Four cats were fed the ration containing ammonium chloride and 3, a dry, commercial ration. Of the 4 cats fed the diet containing ammonium chloride, none developed another urethral obstruction within 6 months, and at necropsy, no calculi were in the urinary bladder or urethra. Two of the 3 cats fed the commercial ration experienced urethral blockage within 3 months. These 2 cats were then fed the diet containing ammonium chloride.(ABSTRACT TRUNCATED AT 250 WORDS)

Ammonium Chloride↗
PubMed1990

Branched, struvite calculus and clear cell carcinoma in same kidney. Rare condition with significant implications for management.

The concomitant existence of a branched (partial staghorn) calculus and clear cell carcinoma (hypernephroma) in the same kidney is rare. Herein, we report the eighth such case in the world literature, and to our knowledge, the first patient with a parenchymal tumor identified preoperatively. In all of the previous 7 cases, the calculus was managed with open renal exploration, and only at the time of surgery was the incidental renal cell carcinoma identified; the surgical procedure was modified accordingly. With open surgery no longer the cornerstone of therapy for renal calculi, it is imperative that the kidney be evaluated in a meticulous and compulsive manner prior to extracorporeal shock wave lithotripsy (ESWL) or percutaneous nephrolithotomy (PNL). The finding of a coexisting renal cell carcinoma will radically alter the patient's treatment.

Adenocarcinoma↗