Hillary Durstein MSN, APRN, NP-C, CUNP, FAUNA, presents “Urolithiasis – Prevalence, Pathophysiology, and Prevention.”
How to cite: Durstein, Hillary. “Urolithiasis – Prevalence, Pathophysiology, and Prevention.” March 28, 2025. Accessed Apr 2025. https://grandroundsinurology.com/urolithiasis-prevalence-pathophysiology-and-prevention/
Urolithiasis – Prevalence, Pathophysiology, and Prevention – Summary
Hillary Durstein, MSN, APRN, NP-C, CUNP, FAUNA, presents an overview of kidney stones, focusing on their prevalence, underlying pathophysiology, and prevention strategies. In this 14-minute presentation, Durstein begins by reviewing the pathophysiology of kidney stones, noting that most are calcium-based and radiopaque, while struvite, uric acid, cysteine, or protease-related stones are less common. Most are diagnosed by CT.
Utilizing graphics, X-rays, and lists, Durstein shares that kidney stones can be located in the renal pelvis or calyceal, ureter, or bladder. She notes that small stones less than 5mm may pass independently, while larger stones require surgical intervention; different surgical methods depend on stone location.
The presentation continues to discuss evaluation and prevention. A detailed medical and dietary history, serum chemistry, and urinalysis are necessary. Durstein reviews patients’ dietary recommendations and pharmacologic options, determined by stone type.
ABOUT THE AUTHOR
Hillary Durstein is a board-certified Nurse Practitioner with advanced training in urology. She holds national certifications as an Adult Nurse Practitioner (NP-BC) and as a Certified Urologic Nurse Practitioner (CUNP).
Ms. Durstein has extensive experience in both hospital and outpatient settings and is known for her compassionate, patient-centered approach. She is dedicated to helping patients understand their conditions and make informed decisions about their care.
Her areas of expertise include urologic health, preventive care, chronic condition management, and both men’s and women’s health. She works closely with patients to create personalized care plans that support their overall wellness.
Ms. Durstein is passionate about education, empowerment, and building strong relationships with the individuals and families she serves.
