Urinary Stones FIX

Background:Urine stone disease is increasingly becoming a common diagnosis in Sub-Saharan Africa. Different factors have been outlined as the cause. The incidence of associated renal function loss is also on the increase. Different management protocols and techniques have been proposed. Availability of newer technological adjuncts is not universal. Aim: to present management of urinary tract stones in a resource limited centre. Material and methods: A ten-year retrospective study of patients treated for urolithiasis was conducted in the University of Port-Harcourt teaching hospital from Jan 2007 to Nov 2017. Data on the age, sex, underlying clinical condition, location of the stone as well as surgical procedures done were collected. Qualitative analysis of the stones was carried out. Data was analysed with SPSS version 20.0 Results: Eighty-nine patients were treated with urinary calculi within the study period. The occurrence of urinary tract stones was found to be greater in males with a proportion of 77.53%, than in females 22.47%. Stones were commonest in the 31-40 years age group. Stones were most commonly located in the kidneys, followed by the bladder and least in the ureter .loin pain was the commonest complain by the patient. There was no identifiable cause for urinary stone in majority of the cases (idiopathic, 64%). Seventy three cases of urinary stone disease were treated surgically, with majority of case treated with open procedures. Combinations of procedures were necessary in a selected number of cases. Endoscopic procedures were mainly carried out in the lower urinary tract. Majority of the stones were calcium based stones. Conclusion: The diagnosis of urinary tract stone disease is increasing in our environment with a male preponderance. Mainly open surgical procedures are carried out in our environment. Acquisition of modern therapeutic options is necessary. Running title: urinary tract stones.

International Journal of Research in Medical Sciences

Background: Urinary tract stone disease (urolithiasis) is still a significant health issue throughout the world. In Asia, regions with very high urolithiasis incidence stretch from Sudan, Saudi Arabia, United Arab Emirates, Pakistan, India, Myanmar, Thailand, Indonesia, and Philippines. Demographic and regional variations in cases of urolithiasis may provide clues to their etiology and prevalence. The aim of this study was to determine the characteristics of urolithiasis patients and their management in Makassar.Methods: This was a single centre retrospective descriptive study using data from patient medical records at Dr. Wahidin Sudirohusodo Hospital Makassar in 2015-2017. Patients’ demographic, clinical, and management characteristics were recorded.Results: From 1,166 urolithiasis patients, author found men were more dominant than women with ratio of 2.2: 1. Age distribution were more common in the range of 40-60 years (58.32%). The distribution of patients with high Body Mass In...

International Journal of Research in Medical Sciences, 2020

Background: Saurashtra is claimed to be ‘stone belt’, even though there is paucity of epidemiological work on this issue; keeping in mind about this problem that ails most parts of the Saurashtra region, which is correctable and preventable, this study was undertaken.Methods: Radiologically diagnosed 100 patients with renal stone were enrolled and interviewed through a proforma approved by institutional ethical committee to study risk factors, clinical scenario, and urinary findings. Urine samples were collected from all the participants of the study and analyzed for the presence of crystals, red blood cells, pus cells as well as urine pH. Data was analyzed with help of EpiInfo™ 7 (CDC Atlanta).Results: Prevalence of renal stone was higher in males (72%); common in age group of 21-35 years. Common findings were recurrent flank pain (81%), gross hematuria (59 %) and renal colic (51%). Familial history (p<0.004), improper water drinking habit (p<0.002), lack of diet modification...

2019

Introduction: Patients with acute renal colic need to choose between undergoing medical treatments and receiving interventions. The Aim of this study is to evaluate the outcomes of patients who are discharged from emergency departments with ureteral stones lesser than 6 millimeters. In doing so, the effect of diagnostic treatment approaches on clinical outcomes and referral rate is to be assessed. Patients and Methods: This study was performed on patients with ureteral stones referred to emergency department of Shohadaye Tajrish Hospital between May2015 to June 2018. A checklist was filled out for each patient and it included their complete medical history, physical examination results and paraclinical data. Patients were then studied for 4 weeks to determine referral times to hospital and clinical outcomes. Results: 105 patients include 81 men (77.14%) with average age of 37.1±12.4 years were studied. The mean stone diameter was 4.2±2.1 mm. Most of ureteral stones were seen in the...

2021

Background The present retrospective study on urinary stone disease in the Uttarakhand state was necessitated as no study has been done yet. Methods A 13 year retrospective study (from 2005 to 2018) was conducted on the urinary stones removed from the patients, admitted at Himalayan Institute of Medical Sciences, Dehradun. The incidence of the disease, site of stones in urinary tract upon diagnosis, composition of removed stones and occurrence of a possible co-relationship between the incidence of the urinary stone disease at different times, age, sex, religion of the patients was investigated. Results The frequency of occurrence of urinary stones in males was found to be almost three times more as compared to their female counterparts. The above trend was consistent over the entire period of the study. Interestingly, in the Muslim and Sikh population of the area, females were found to be less prone to the problem as compared to their Hindu counterparts. However, in all religious gr...

2021

Background Nephrolithiasis is a condition of having stones in the kidneys, which progressively lead to loss of renal function if untreated properly.1 The prevalence and incidence of kidney stones is increasing across the world.2 Methods A retrospectively collected data of kidney stone disease was reviewed on patients who visited the outpatient department of Orotta Medical Surgical National Referral Hospital from January 2012 to December 2012. Results Out of 30,335 patients 173 were confirmed to have stones making them 0.5%. Generally results show male predominance with male to female ratio of 2.46:1. Results also show prevalence decreases as age increases with the highest among the age group 15-25 making a prevalence rate of 27.7% with observed significance of 0.002. Out of those patients who visited the outpatient department patients from Zoba Maekel were the highest in number (59.9%) followed by Debub (19.1%) while the southern Red Sea Zone had the lowest prevalence (2.3%). Majori...

2019

Stone may form at any level in the urinary tract, but mostly in the kidney. Urolithiasis (Stone formation in the urinary tract) is a very common problem with the reported increasing prevalence across the world. Males are affected somewhat more than females. It is imperative to increase understanding of the concept of its formations, particularly about the various causative factors, which play a role to lead its initiation. Here in, we reviewed the literature of medical science, particularly Arabic, Persian and Urdu manuscripts/literature of Unani medical system, having information regarding the formation and causative factors of this disorder. Google scholar, PubMed, Science direct and Ovid were searched to review the literature of modern research publications containing information on the subject. At the conclusion, it was noticed that the incidence and prevalence of Urolithiasis is increasing across the sex, race and age of the patients all over the world and role of diet is seeme...

International journal of health sciences

Renal stone is a common condition affecting human beings of both genders and all age groups worldwide. Their presentation vary from unilateral loin region pain to nausea vomiting, to burning micturation or even haematuria. Patient profile of renal stone disease differs from one geographical region to another. Therefore this prospective observational study was conducted inDattaMeghe medical college, Wanadongri, Nagpur to find out patient characteristics of this region. 100 patients were included in the study. 82% patients were females most of whom were housewives. 48% patients belonged to the age group 41-60 years. Most common presentation was left sided flank pain. CT scan and USG abdomen were equally accurate in determining the size of the renal stone. Most of the females were managed conservatively whereas most males required intervention like URS or PCNL for their treatment.

JPMA. The Journal of the Pakistan Medical Association, 2009

To review 17 years experience of the stone clinic with incorporating the changes in practice over the years and to report the benefits of stone clinic in a developing country. The SIUT Stone clinic was established in 1990 with installation of HM4 Lithotriptor. This clinic is run jointly by a Urologist, Dietitian, Nephrologist, Biochemist and Radiologist. From 1990 - 2007, about 38,749 stone patients received treatment with ESWL (55%), PCNL (6.0%), URS (15.5%), litholopaxy 4.0% and open surgery 19.7%. These patients after treatment were followed in the stone clinic with stone analysis and 24 hours urine metabolic studies where indicated. Dietary and oral hydration programme combined with medical therapy was also instituted. Recurrence rate was noted in those patients who were advised diet modification, oral hydration and medical treatment. Complications of stone disease were documented during the follow-up period. In ESWL group 8226 patients were followed in the stone clinic for 5 ye...

journal of medical science and clinical research

Background: Renal stone or calculus is one the most common disease of the urinary tract. Sharp, server pain from the kidney stones brings over 4,50,000 people to emergency department every year. The surgical management of renal stone disease have changed dramatically. Here a clinical study of 25 patients of renal calculus has been under taken. An attempt has made to study the ectiopathology of stone formation with clinical features and its surgical management. Methods: in this study all patients diagnosed as renal calculi and admitted in surgical and urology wards at heritage institute of medical sciences varanasi during the period of October 2016 to june 2017. A detailed history, complete physical examination routine and specific investigation were done. Inclusion criteria:  All Cases of renal calculi managed by non operative medical line of treatment.  Stones below the pelviureteric junction.  Renal stones in immune compromised patients.  Associated neoplaisa (Benign, and malignant)  Associated congenital renal ureteric and urinary bladder anomalies. Results and Conclusion: 25 cases were studied, incidence is common between 3 rd and 5 th decase. 14 (56%) were of mixed diet. All the 25 cases have presented with pain in the lumbar region of login. After investigations different surgical procedures were under taken on these patients and there were no operative difficulties encountered. Out of 25 patients only 15 patients turned up for follow up all were symptom free till their last visit, remaining 10 patients did not come for follow up all were symptom free till their last visit, nephrolithiasis,