nephrolithiasis --> back up of urine --> increased intraluminal pressure (in ureters, calyces then tubules) --> atrophy of the renal tubules (destruction of epithelium etc etc)
cystic fibrosis --> more thickened secretions (eg in pancreatic ducts) --> occlusion of ducts --> accumulation of secretory products --> damage and atrophy due to increased pressure (or chemical damage --> pancreatic enzymes)
I hope it will help you. Tell me if you got this...