Spa therapy in urological diseases

Journal/Book: J. J. A. Phys. M. Baln. Clim. 52: 194-203 (1989). 1989;

Abstract: Christoph Gutenbrunner Institut für Arbeitsphysiologie und Rehabilitationsforschung der Universität Marburg/Lahn and Institut für Kurmedizinische Forschung Bad Wildungen. In Germany for patients suffering from urological diseases e.g. renal stone formation and urinary tract infections drinking cures with natural mineral waters are on the one hand applicated within the scope of a complex balneological treatment on the other hand are used for house drinking cures e.g. for the prophylaxis of urolithiasis (see also GUTENBRUNNER 1986). In the following I will give a short survey of our recent investigations concerning the effect of isolated and combined drinking cures on the urinary composition and the bladder function. The risk of renal stone formation depends among others on the urinary composition especially on the relation of stone forming and inhibitory substances (ROBRTSON and PEACOCK 1985 ; and others). Concerning the therapeutical effects of mineral water drinking the micromolecular lithogenic and inhibitory substances are of special interest. The most important lithoghnic substances are calcium oxalate phosphate and uric acid. As inhibitory substances magnesium and citrate have to be considered. The urinary excretion of these substances are not only influenced by nutritional and individual factors but also by rhythmic changes of renal functions e.g. circadian and circannual rhythms. The urinary pH is contolled by these spontaneous rhythms as well. . . .

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