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PubMedDate not supplied

Dissolution of struvite calculi by hemiacidrin solution.

Struvite calculi result from urinary tract infections secondary to urease-producing bacteria. To prevent recurrent infection and stone formation complete removal of struvite calculi is recommended. Two illustrative reports of patients with renal struvite calculi are presented in which 10% hemiacidrin (Renacidin) irrigation was instituted for stone dissolution. After surgical removal of the calculi a nephrostomy tube was placed in the renal pelvis. With confirmation of residual struvite calculi, 10% hemiacidrin irrigation was initiated. Urine cultures, electrolytes and nephrotomograms were performed and adverse effects monitored. Using strict aseptic technique and appropriate precautions, hemiacidrin irrigation safely dissolves struvite calculi.

Adult↗

PubMed1975

Constituents of urinary calculi containing struvite.

In a collection of 615 stones containing struvite and in which the sequential deposition of the constituents from the nucleus to the surface had been determined, other substances were found to follow a marked deposition of struvite in 139 cases. In 122, the compound was accompanied by struvite, in 16, struvite was replaced by it and in 1, both types of deposition had occurred in different layers. All urinary stone constituents could accompany struvite and many could replace this compound.

Humans↗

PubMed1986

Struvite crystalluria and urolithiasis in cross Labradors.

Recurrent struvite crystalluria and urolithiasis in a cross-Labrador bitch was studied using a combined Coulter-Counter and scanning electron microscope (SEM) approach. Staphylococcus bacteria were cultured from the patient's urine as well as from the calculi themselves. Urine samples were subjected to particle counting and sizing during active and non-active periods of stone formation. Size distribution curves so obtained were identical as were those derived from sterile and non-sterile specimens. These showed a peak incidence at a diameter of 5 microns. Particle sizes for 6 controls were also determined and showed an even distribution over a much wider range with small peaks occurring at 3, 10, and 20 microns diameters. SEM studies of urine sediments revealed the presence of struvite crystals in all the controls as well as in the stone-former. These occurred in a variety of shapes and sizes but were generally larger in the controls. SEM also revealed intimate admixtures of struvite and apatite in calculi surgically removed from the patient. The results of this study indicate that crystal numbers are of greater significance than crystal size. It is also suggested that Cross-Labradors may be unusually predisposed to struvite crystalluria. The repeated recurrence of struvite urolithiasis in the subject indicates a possible inherent physiological malfunction in the animal's ability to cope with this crystalluria. The absence of a nucleation inhibitor in the stone-former's urine is also postulated.

Animals↗

PubMed1996

Struvite calculi.

Although calcium oxalate stones are the most common type of calculi found in the United States, struvite or infection stones are quite common and generally pose a difficult treatment dilemma. The presence of urinary infection with a urease-producing organism is necessary for these stones to form. Proteus species account for the majority of infections that cause struvite stones in all age ranges. However, other organisms also produce urease and may be detected in conjunction with struvite calculi. Factors that may predispose one to urinary tract infections increase the likelihood of struvite stone formation. Several options are available for the treatment of existing struvite calculi. Smaller stones may be treated with primary shock-wave lithotripsy, whereas larger stones are more appropriately managed with percutaneous or combination procedures. Medical therapy to prevent recurrent stone formation is also an essential part of the treatment of these patients, as the risk of stone recurrence is extremely high. Antibiotic therapy and urease inhibitors perhaps offer the best form of preventative treatment available today.

Anti-Bacterial Agents↗

PubMed2005

Optimum doses of Mg and P salts for precipitating ammonia into struvite crystals in aerobic composting.

It was previously reported that struvite crystals could be formed in the aerobic composting reaction provided that Mg and P salts are added [Bioresource Technology 79 (2001) 129]. The formation of struvite crystals significantly reduced gaseous loss of ammonia and resulted in substantial increase in the ammonia content in the compost, attaining 1.5%. In this context, the present study was conducted to determine the optimal doses of Mg and P salts for struvite crystallization. It was found that cumulative ammonia production was about 33-36% of the initial total nitrogen in the aerobic composting reaction, irrespective of the amounts of Mg and P salts added. The theoretical doses for complete conversion of ammonia into struvite crystals seemed to be about 33-36% of the initial nitrogen. The addition of Mg and P salts at this level, however, caused adverse effects on the degradation of organic materials. Therefore, it was concluded that the optimal doses of Mg and P salts should be about 20% of the initial nitrogen in the compost mixture not to cause any harmful effects on the composting reaction.

Ammonia↗

PubMed1999

Medical dissolution and prevention of canine struvite urolithiasis. Twenty years of experience.

Two types of canine struvite uroliths have been recognized: infection-induced struvite is the most common type; sterile struvite is uncommonly recognized. Infection-induced struvite is most commonly associated with urease-producing staphylococcal UTI. For dogs that qualify, medical dissolution is an effective method of treatment. Medical dissolution protocols encompass: (1) eradication or control of UTI; (2) use of calculolytic diets; and (3) administration of urease inhibitors to patients with persistent UTI caused by urease-producing microbes.

Animals↗

PubMed2001

Assesing the potential for struvite recovery at sewage treatment works.

Struvite in wastewater treatment plants was identified as early as 1939. Problems with struvite formation date back to the 1960s when it was noticed at the Hyperion treatment plant, Los Angeles. Operators at the plant noticed crystalline deposits on the underside of post digestion screens. The digested sludge stream was diluted and it was thought the problem was solved, until five years later when the normal gravity flow of digested sludge had decreased to such a stage that pumping was required. This paper reports the findings of a series of experiments undertaken to identify the potential of recovering struvite from sludge liquors. Seven sludge treatment works (STW) have been investigated including one detail. A number of the works has the potential to form over 100 mg l(-1) of struvite.

Hemostatics↗

PubMed2006

Production and basic morphology of struvite crystals from a pilot-scale crystallization process.

A pilot-scale, struvite crystallization process was operated using anaerobic digester supernatants from two, full-scale, treatment plants as influent. It was found that the produced struvite crystals were easily separated from the process and were composed of very pure struvite (91.2 % to 94.1 % purity), with small amounts of calcium and carbonate, and traces of iron and aluminum. Most of the harvested struvite crystals, which were an aggregation of numerous fine crystals, were round, hard and larger than 1.5 mm in mean diameter. The crystal retention time in the reactor and the magnesium dosage in the supernatant appeared to have a significant effect on the crystal size, hardness and morphology.

Crystallization↗

PubMed1992

In vitro inhibition of struvite crystal growth by acetohydroxamic acid.

Struvite (MgNH4PO46H2O) crystals were produced by Proteus mirabilis growth in artificial urine, in the presence and absence of the urease inhibitor, acetohydroxamic acid (AHA). In the absence of AHA, struvite crystals assumed an "X-shaped" or dendritic crystal habit due to rapid growth along their 100 axis. When AHA was present, crystal growth, as monitored by phase contrast light microscopy, was greatly slowed, and the crystals assumed an octahedral crystal habit. Scanning electron microscopy revealed that crystals grown in the presence of AHA were pitted on their surface. This pitting was absent in control samples. While most of this inhibition by AHA was due to lowered urease activity, some crystal growth inhibition occurred in struvite produced in the absence of urease activity through NH4OH titration of artificial urine. We conclude that while AHA is primarily a urease inhibitor, it may also disrupt struvite growth and formation directly through interference with the molecular growth processes on crystal surfaces.

Animals↗

PubMed1999

A study of struvite precipitation and urease activity in bacteria isolated from patients with urinary infections and their possible involvement in the formation of renal calculi.

Struvite precipitation and urease activity were studied in 72 bacterial strains isolated from patients with an urinary infection. The results revealed struvite precipitation by urease-positive, urease-negative and weakly urealitic bacteria. However, in some strains of each of these groups, no precipitation was observed. Variations in pH within the cultures were also investigated as were the mineralogy and morphology of the crystals precipitated using X-ray diffraction and scanning electron microscopy, respectively. The role of urease activity and alkalinization of the medium in struvite precipitation is discussed, as is the possible involvement of bacteria in nucleation processes. We concluded that urease-negative bacteria or those with weak urease activity may also be involved in the formation of struvite renal calculi although urease-positive bacteria seem to make a greater contribution.

Chemical Precipitation↗

PubMed2006

Effect of seeding materials and mixing strength on struvite precipitation.

Struvite precipitation has increasing interest as a technology for removing and recovering phosphorus from wastewater streams. Many chemical factors have been studied, such as optimum pH values and component-ion molar ratios, yet, understanding of physical aspects is lacking. Two physical parameters were tested: (1) seeding material addition and (2) mixing. Objectives were to evaluate three seeding materials and to optimize mixing conditions for struvite-crystal precipitation, growth, and subsequent sedimentation. Results confirm that mixing strength and proper seeding materials increase crystal size and improve settleability. For unseeded solutions, optimum phosphorus removal was achieved at a mixing strength of G = 76 s(-1). Struvite crystals that were added as the seeding material provided the best performance with respect to phosphorus removal and crystal-size distribution. Overall, this study provided information to improve the practical application of struvite precipitation as a phosphorous-treatment technology for wastewaters, while generating a marketable slow-release fertilizer as a product.

Animals↗

PubMed2001

Struvite precipitation potential for nutrient recovery from anaerobically treated wastes.

Geochemical equilibrium speciation modeling was used to determine optimum conditions for precipitation of magnesium ammonium phosphate, or struvite, for the recovery of nutrients from anaerobically digested wastes. Despite a wide range of pH values with the potential to precipitate struvite, the optimum pH was determined to be 9.0. Bench experiments conducted on effluent from an anaerobic sequencing batch reactor (ASBR) treating swine wastes achieved a maximum of 88% ammonia removal at a pH of 9.5 with added magnesium and phosphate to achieve an ammonium: magnesium: phosphate molar ratio of 1:1.25:1. Struvite precipitation was performed on a continuous basis in a pilot-scale ASBR treating swine wastes. Through the addition of supplemental magnesium and phosphate, the ammonia concentration was reduced from 1500 mg/L as nitrogen to less than 10 mg/L. The supenatant from the struvite precipitation clarifier was recycled to the feed of the ASBR without adverse impact, simulating on-farm effluent reuse as flush water.

Agriculture↗

PubMed2003

Removal and recovery of phosphate and ammonium as struvite from supernatant in anaerobic digestion.

Removal of phosphorus and nitrogen is required to prevent eutrophication problems in lakes and enclosed coastal seas. And recovery of phosphorus from wastewater has been attracting attention because of lack in phosphorus resources in the near future. In this study, reaction kinetics and design parameters of struvite production are experimentally investigated by using basic reaction type and a draft-tube type reactors. Struvite production rate, which is a very important parameter in reactor design and efficiency estimation, is formulated in an equation consisting of a rate constant (k2), and magnesium, phosphate and ammonium concentrations. The value of k2 is shown to be increased with struvite concentration and mixing intensity in the reactor. The developed equation is applied to the results obtained from the draft-tube type reactor experiments and verified for its applicability. High struvite concentration of 10-25% is maintained in the draft-tube reactor experiments. 92% removal and recovery efficiency with effluent phosphorus concentration of 17 mg/L is achieved under the conditions of 4 minutes reaction time, pH of 8.5 and Mg/P molar ratio of 1.1.

Bacteria, Anaerobic↗

PubMed2004

Struvite control through process and facility design as well as operation strategy.

Struvite deposition is a common problem in municipal wastewater treatment plants and can be significant if not anticipated, but struvite deposits are completely manageable if properly addressed. This paper summarises experiences from a number of facilities that have dealt successfully with struvite problems, elaborates on the interrelations between secondary treatment and anaerobic digestion, and outlines an approach to control struvite and available alternatives.

Chemical Precipitation↗

PubMed2004

A study of NH3-N and P refixation by struvite formation in hybrid anaerobic reactor.

This research is concerned with the removal of ammonia nitrogen and phosphorus in foodwaste by crystallization. Reductions have been achieved by struvite formation after the addition of magnesium ions (Mg2+). Magnesium ions used in this study were from magnesium salts of MgCl2. The results of our analysis using scanning electron microscopy and energy dispersive X-ray analysis showed that the amount of struvite in precipitated sludge grew enough to be seen with the naked eye (600-700 microm). EDX analysis also showed that the main components of the struvite were magnesium and phosphorus. NH3-N removal efficiency using MgCl2 was 67% while PO4-P removal efficiency was 73%. It was confirmed that nitrogen and phosphorus could be stabilized and removal simultaneously through anaerobic digestion by Mg, NH3 and PO4-P, which were necessary for struvite formation.

Ammonia↗

PubMed1984

Evaluation of a calculolytic diet in female dogs with induced struvite urolithiasis.

The calculolytic effect of a diet designed to reduce the urine concentration of urea, P, and Mg was evaluated in female Beagles with induced urease-positive urinary tract infections and struvite urolithiasis and in female Beagles with induced sterile struvite urolithiasis. The reduced-protein calculolytic diet induced urolith dissolution in 5 of 6 infected dogs with struvite urolithiasis in 2 to 5 months (means = 14.4 weeks). At the end of 6 months, uroliths in comparable control dogs fed a maintenance diet were 5 times larger and 14 times heavier than at the beginning of the study. The calculolytic diet induced urolith dissolution in 6 of 6 noninfected dogs with struvite uroliths in 2 to 4 weeks (means = 3.3 weeks). Four uroliths in noninfected dogs fed the maintenance diet dissolved over a period of 2 to 5 months (means = 14 weeks). Urolith dissolution in dogs fed the calculolytic diet was associated with diet-induced diuresis, reduction in urine pH, reduction in urine concentration of urea ammonia, P, and Mg, and increase in urine titratable acidity. Consumption of the calculolytic diet was also associated with significant (P = less than 0.01) reduction in the serum concentration of urea and albumin and a significant (P = less than 0.01) increase in serum hepatic alkaline phosphatase activity. Concomitant occurrence of hydropic degeneration of hepatocytes indicated that these biochemical and morphologic changes were associated with dietary protein restriction.

Animals↗

PubMed1988

Feline struvite crystalluria: a comparison of some commercially available dry cat diets in New Zealand.

Thirteen adult cats were each fed consecutively five test diets: firstly a complete canned diet, and then four commercially available dry cat diets (New Formula Biscats, Cat Chow, Go-Cat and Whiskettes) for 7,13, 5, 4 and 4 weeks respectively. Urine samples were tested for pH and presence of struvite crystals. Body weight was recorded weekly. Urine pH was ranked from acid to alkaline as follows: Whiskettes (pH 5.8), canned diet (pH 5.9), Biscats (pH 6.1), Cat Chow (pH 6.45) and Go-Cat (pH 6.5). The pH of urine when cats were fed Whiskettes, Biscats and canned diet was not significantly different. Biscats produced a urine pH significantly higher than Whiskettes but, in each case, these three diets produced a significantly lower urine pH than Cat Chow and Go-Cat. Struvite crystals occurred spontaneously in 9% of urine samples from cats when fed Whiskettes and Biscats, 71% when fed Cat Chow and 38% when fed Go-Cat: spontaneous struvite was not seen in any cat fed CX9. Haematuria was seen in 2.9% (2/69) urine samples from cats fed Cat Chow. One tom cat had a blocked urethra after 24 days on Go-Cat. No abnormalities were observed in any cat when fed canned diet, Biscats or Whiskettes. It was concluded that of the four dry cat diets tested only Biscats and Whiskettes produce urine with an acceptably low rate of spontaneous struvite crystalluria.

Journal Article↗

PubMed1999

The impact of contemporary bladder management techniques on struvite calculi associated with spinal cord injury.

OBJECTIVE: To evaluate the incidence, risk factors and complications of upper tract struvite calculi, often associated with spinal cord injury (SCI), as such patients have a high incidence of urinary infection complicating their neurogenic voiding dysfunction, by reviewing a large population of patients with SCI in whom modern techniques of bladder management were used. PATIENTS AND METHODS: Between 1982 and 1996, 1669 patients with SCI were admitted to our institution; 1359 of these patients sustained their injuries during the study period. During this time, their bladder management was based on urodynamic and imaging criteria, using techniques such as early intermittent catheterization, sphincterotomy and bladder augmentation where possible to create a catheter-free, low-pressure reservoir. All instances of upper tract struvite calculi in this population were documented. Risk factors for stone development, presentation and complications, management and recurrence rates were assessed. RESULTS: Over the 15 years, 58 patients (3.5% of the SCI population) were treated for a total of 144 episodes of struvite calculi. The incidence of stones in those injured since 1982 was 1. 5%; 67% of these patients had complete spinal cord lesions, 54% had lesions of the cervical cord and 53% developed their first stone >10 years after injury. Only 22% presented within 2 years of injury. The group of patients developing stones had a significantly higher incidence of indwelling catheters (49%), bladder stones (52%) and vesico-ureteric reflux (28%) than those who were stone-free. The development of recurrent urinary tract infections was the most common mode of presentation. The stone-free rate after treatment was 87%. Normal renal function was preserved in 72% of patients. CONCLUSIONS: In a large population of patients with SCI managed using contemporary bladder techniques the incidence of upper tract calculi was 3.5%; 30% of these stones were complete or partial staghorns. Those patients with complete cord lesions, permanent indwelling catheters and vesico-ureteric reflux were at the highest risk. Stone clearance was 87% and recurrent stones occurred in 69% of patients. Struvite renal calculi continue to be a significant problem in the spinal cord injury population.

Adolescent↗