Dernière mise à jour : 18 mai 2026

Le problème des calculs rénaux est très fréquent dans mon cabinet d'urologie. Après avoir étudié la littérature sur l'incidence des calculs rénaux, je constate qu'au moins 101 % de la population américaine et européenne est confrontée à ce problème une fois dans sa vie. Mais lorsque j'ai essayé d'approfondir mes recherches, j'ai été surpris par les chiffres qui, par coïncidence, se sont envolés pour atteindre un taux de 17% de calculs rénaux. Dans ce sujet, nous allons comprendre pourquoi les calculs rénaux se produisent.

Why this happen? – This question is extremely hard to give a certain answer, because it happens from multifactorial factors. When we all know that kidneys are the organ which functioning on infiltration waste-products from our body and then excrete out by urination, so the kidney is the place where some ions for example Calcium, Phosphate, Uric acids and Oxalate – always be in a high concentration. When ions reached their maximum concentration, then they start stone formation.

Pourquoi les calculs rénaux surviennent-ils ?
Une forte concentration d'ions à l'intérieur du rein entraîne la formation de calculs rénaux.

Les calculs rénaux sont dus à deux facteurs principaux.

  1. Facteur d'accueil
    • Race – African American and Caucasian were reporting more incidence than Asian, also some specific race especially Cambodian and Northern east part of Thai population usually suffered a genetic-related disease.
    • Sex – Men are suffering more than women with a ratio around 2:1 worldwide.
    • Age – Aging is reported around between 40 – 60 years old.
    • Underlying medical history – Obesity and Diabetes can increase the rate 55% and 59%, obviously. Basically, for all those diseases will make our body excrete more ions in the urine.
La race humaine est l'un des facteurs importants de l'incidence des calculs rénaux.
Les hommes souffrent davantage de calculs rénaux que les femmes
Les antécédents médicaux, par exemple le diabète, augmentent le taux de calculs rénaux.
  1. Facteurs environnementaux
    • Geographic location – The countries area which located in tropical climate has more reported on the incidence. The reason is, people who live in hot weather condition tend to lose body fluid easily from sweating and consequently will experienced in less urine output that will make urine ions more concentrated.
    • Consommation d'eau – Plenty of water intake is the easiest way to reduce the risk. In every 500 mL of increasing daily water intake will significantly reduce the incidence. (Recommendation daily water intake – 2,500 mL)
    • Nutrition – High sodium intake, high oxalate intake, high Vitamin C intake, imbalance calcium intake are all involved problems and it tend to increase more risk of stone formation.
    • Less citrate intake – Citrate ion possessing an effective on anti-stone, it is riches in Citrus fruit for example lemons. A cup of lemonade juice daily is recommended in patients who aware on stone formation.
La situation géographique joue également un rôle dans l'incidence des calculs rénaux
Une consommation abondante d'eau est le moyen le plus simple de réduire le taux de calculs rénaux.
Le citrate est riche en citron et en agrumes.

Sometimes kidney stone has another name called a metabolic disease because lots of involvement caused that. It might make the patients suffering from this kind of problem. Well educated patient with a strong Doctor-Patient binding would require for the possibly chronic problem like this – Kidney stone problem.

Si vous avez des questions, n'hésitez pas à vous adresser à moi.

If you have recurrent kidney stones or would like a tailored prevention plan, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. Prendre rendez-vous.

Frequently Asked Questions about Kidney Stone Formation

Why do kidney stones form?

Kidney stones form when certain minerals and ions in the urine, such as calcium, oxalate, phosphate, and uric acid, reach a concentration high enough to crystallize. The kidneys normally filter these substances from the blood, but when fluid intake is low or dietary intake is excessive, these ions accumulate and begin to aggregate into stones.

Who is most at risk of developing kidney stones?

Kidney stones are more common in men than women at a ratio of approximately 2:1, and most commonly occur between the ages of 40 and 60. People with obesity, diabetes, or a family history of kidney stones face significantly higher risk. Those living in tropical climates are also more susceptible due to increased fluid loss through sweating.

Can drinking more water prevent kidney stones?

Yes. Increasing fluid intake is one of the most effective and practical ways to reduce kidney stone risk. Every additional 500 mL of water per day significantly lowers the risk by diluting urinary ion concentrations. A daily water intake of at least 2,500 mL is recommended for stone prevention.

What foods increase the risk of kidney stones?

A high intake of sodium, oxalate-rich foods (such as spinach and nuts), excess vitamin C supplements, and imbalanced calcium intake can all increase the risk of stone formation. High-protein diets and excessive animal meat consumption raise urinary uric acid levels, contributing to uric acid stones.

Does lemon juice really help prevent kidney stones?

Yes. Lemon and other citrus fruits are rich in citrate, a natural inhibitor of kidney stone formation. Citrate works by binding to calcium in the urine, preventing crystal aggregation. Drinking a glass of lemon juice daily is a simple and evidence-supported dietary measure for patients at risk of calcium oxalate stones.

Avis de non-responsabilité : Ce contenu est rédigé et revu par le Dr Soarawee Weerasopone, urologue certifié au siège de Bangkok Hospital. Il est destiné uniquement à des fins éducatives et ne constitue pas un avis médical. Consultez toujours un professionnel de la santé qualifié avant de commencer tout traitement médical.

Rédigé et révisé par des médecins : Dr. Soarawee Weerasopone (Dr. Pom) – Urologue certifié, Hôpital de Bangkok (siège). Fellowship international : Baylor College of Medicine (États-Unis) · Juntendo University (Japon) · Chang Gung Memorial Hospital (Taïwan).

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