scholarly journals Stones in Dystopic Kidneys

2018 ◽  
Vol 1 (1) ◽  
pp. e17-e20
Author(s):  
Mohammed El Hadi ◽  
Nisha Ranga ◽  
Shabi Ahmad

Congenital abnormalities of the urinary tract comprise a variety of structural and functional malformations, these can range from mild asymptomatic to complex and life threatening. Renal anomalies predispose individuals to many complications, including recurrent urinary tract infections, stones formation, and impaired renal function. The knowledge of those anatomical variations is essential to urologists and trainees to help make correct diagnosis and offer appropriate treatment. Our aim is to define the role and evaluate the outcomes of flexible uretero-renoscopy (fURS) as an accepted treatment modality for urinary stone disease in two dystopic kidneys managed in our hospital.

Urolithiasis ◽  
1989 ◽  
pp. 279-280
Author(s):  
S. Vasudevan ◽  
K. Sachidev ◽  
S. Sindhu ◽  
R. Vathsala ◽  
Y. M. Fazil Marickar

2020 ◽  
Vol 3 (3) ◽  
pp. 179-189
Author(s):  
Saurabh Nimesh ◽  
Vrish Dhwaj Ashwlayan ◽  
Rubi Rani ◽  
Om Prakash

Kidney and urinary stone disease (Nephrolithiasis and urolithiasis) are the condition where urinary stones or calculi are formed in the urinary tract. The problem of urinary stones is very ancient; these stones are found in all parts of the urinary tract, kidney, ureters, and the urinary bladder and may vary considerably in size. It is a common disease estimated to occur in approximately 12% of the population, with a recurrence rate of 70-81% in males and 47-60% in females. The treatment of kidney and urinary stone diseases such as a western (allopathy) medicine and surgery is now in trends. However, most people preferred plant-based (herbal) therapy because of the overuse of allopathic drugs, which results in a higher incidence rate of adverse or severe side effects. Therefore, people every year turn to herbal therapy because they believe plant-based medicine is free from undesirable side effects, although herbal medicines are generally considered to be safe and effective. In the present article, an attempt has been made to emphasize an herbal therapy is better than allopathic therapy for the management of the kidney and urinary stone disease.


2018 ◽  
Vol 4 (1) ◽  
pp. 46
Author(s):  
Elly Trisnawati ◽  
Jumenah Jumenah

Abstract: Food Consumption Risk Against The Incidence Of Urinary Tract Stones. BSK (Urinary track stone; Urolithiasis) is a health problem that had long been known and ranked in the third place of Urology. Based on the data in the RSUD Dr. Soedarso Pontianak BSK case data always has increased each year. In 2014 as much as 31.236 cases. In  2015 the proportion of urinary stone disease was 36.182%. While in the period January-November of 2016 the proportion of urinary stone disease was 44.75%. BSK has greater risk suffered by men. Men have the anatomy of the urinary tract is longer than the female. In addition, in the male urine calcium levels are higher, compounded if you have the habit of holding urinate and bad eating patterns.  The purpose of this study is to determine the relationship between food consumption at the risk of urinary tract stones. Type of this research is a case-control design. The Sample research is 96 respondents (48 cases and 48 controls) taken with purposive sampling technique. Statistical tests using the chi-square with a confidence level of 95%. The results of this study indicate that factors into the risk of formation of BSK is a source of protein consumption consumption (P Value = 0.051, OR: 2,616 (1,083-6,321)), vegetable consumption (P Value = 0.040, OR: 2.571 mg (1,124-5,884)). It is recommended to the Provincial Hospital Dr. Soedarso Pontianak convene regular health promotion by making use of television media available in the waiting room of a patient primarily about the foods that can cause the formation of such BSK the consumption of high protein and vegetable sources contain oxalate.Abstrak: Konsumsi Makanan Yang Berisiko Terhadap Kejadian Batu Saluran Kemih. Batu Saluan Kemih (BSK) merupakan masalah kesehatan yang sudah lama dikenal dan menempati urutan ketiga di bidang Urologi. Berdasarkan data di RSUD Dr. Soedarso Pontianak data kasus BSK selalu mengalami peningkatan setiap tahunnya, yaitu sebanyak 31,23% tahun 2014, sebanyak 36,18% tahun 2015 dan sebanyak 44,75% pada bulan Januari-November 2016. BSK memiliki risiko lebih besar diderita oleh laki-laki. Laki-laki memiliki anatomi saluran kemih lebih panjang dari perempuan. Selain itu, dalam urine laki-laki kadar kalsium lebih tinggi, diperparah jika memiliki kebiasaan menahan buang air kecil dan pola makan yang kurang baik. Tujuan penelitian ini adalah untuk mengetahui hubungan dan besar risiko antara konsumsi makanan dengan batu saluran kemih.  Jenis penelitian ini adalah desain kasus kontrol. Sampel penelitian sebanyak 96 responden (48 kasus dan 48 kontrol) yang diambil dengan teknik purposive sampling. Uji statistik menggunakan chi-square dengan tingkat kepercayaan 95%. Hasil penelitian ini menunjukan faktor yang menjadi risiko terbentuknya BSK adalah konsumsi konsumsi sumber protein (p value = 0,051, OR: 2,616 (1,083-6,321)), konsumsi sayur ( p-value = 0,040, OR: 2,571(1,124-5,884)). Disarankan kepada RSUD Dr. Soedarso Pontianak untuk mengadakan promosi kesehatan secara berkala dengan memanfaatkan media televisi yang tersedia di ruang tunggu pasien terutama mengenai makanan-makanan yang dapat menyebabkan terbentuknya BSK seperti konsumsi sumber protein tinggi dan sayur mengandung oksalat.


2010 ◽  
Vol 15 (1) ◽  
Author(s):  
Jan Muhammad Memon ◽  
M. Amin Athar ◽  
Anwar Ali Akhund

Objectives: To study the basic clinical pattern of urinary stone disease in our setting.Study design: Descriptive study.Setting: Department of surgery of Nawabshah Medical College Nawabshah over a period of 4 years between August 2003to August 2007.Subjects: A total of 257 urolith patients with different stone burden enrolled in the study.Methodology: Structured and standardized history and clinical investigations collected in all of urolith patients. Thediagnosis of stone disease was based on history, physical examination followed by KUB x-ray, ultrasonography and IVU .Allpatients subjected to open stone surgery. The data were analyzed prospectively with outcome measures of gender, stonelocation, clinical presentation and operative procedures.Results: Out of 257 patients 181 (70.42%) were male and 76 (29.56%) female with male to female ratio of 2.3:1.The ageranged from 1 year to 80 with the mean of 25.8 years. The peak incidence of upper urinary tract stones was in 20-30 yearswhile lower urinary tract stones in both sexes were under 10 years (Table 1). Anatomical distribution of stone showed 116(45.16%) renal, 21 (8.17%) ureteric, 108 (42%) bladder and 12 (4.66%) urethral calculi (Table 2). The commonest clinicalpresentation was that of pain in 67.31% of patients associated with haematuria in 26.7% of cases. Clinical urinary tractinfection (UTI) was in 15% and 8.9% of patients had spontaneous stone passage (lithuria). The symptoms of bladder outletobstruction (BOO) including retention of urine were in 7% of cases. Calculus anuria was in 1.9% of cases and 8.1% patientshad asymptomatic stones. Bilithiasis (chole-nephrolithiasis) was in 5% of cases (Table 3). Open stone surgery included 84(32.68%) simple pylolithotomies, 15 (5.83%) extended pylolithotomies, 6 (2.33%) pylolithotomy and pyloplasty, 5 (1.94%)nephrolithotomy, 6 (2.33%) nephrectomies, 21 (8.17%) uretrolithotomy, Cystolithotomy was 113 (43.96%) cystolithotomy, 2(0.77%) urethrolithotomy and meatotomy in 5 (1.94%) of patients.Conclusion: Urolithiasis is increasing problem with high frequency of bladder stones and male predominance in our part ofSindh province. Open surgery is still needed to treat the patients where modern and minimally invasive therapeutic modalitiesare out of reach and non-availability in public sector. Establishment of modern stone clinics in rural setup is the need oftoday’s medical practice.Keywords: Urinary calculi, Clinical profile, Open stone surgery.


Author(s):  
Manharsinh Rajput ◽  
Sanjay Lakshminarayan Paul ◽  
Phanindra Mohan Deka

Background: Urolithiasis affects between 5-10% of the population during their lifetime, 2-3% of them are children. In the last decade, technological advancement and miniaturization of instruments has changed the management of pediatric urinary-stone disease. Extracorporeal shockwave lithotripsy (ESWL) has been preferred method of management of pediatric stone disease, whereas the endoscopic approach is limited to a few centers.Methods: This retrospective study was conducted among the pediatric patients (6-15 years) presenting with urolithiasis during 1st January 2017 to 31st December 2019 to the department of urology, Dispur hospital Pvt. Ltd., Assam. Only confirmed cases of pediatric urolithiasis were included in this study. Medical records were reviewed for clinical and laboratory data including gender, age at diagnosis, clinical presentation, presence of urinary tract anomalies, and urinary tract infections (UTI) in the form of urinalysis, urine culture and complete blood count. Metabolic evaluation was advised in all children. Finally, a total of 100 pediatric urolithiasis cases were included in this study.Results: ESWL was performed in 28 children. The stone-free rate was 85.7%. The total number of shocks per treatment ranged from 1000 to 2000. A total of 10 percutaneous nephrolithotomy (PCNLs) were done with complete stone clearance in 83.33%. In the URS group, urethroscopy was successful in 20 cases (75%). Cystolithotripsy was done in 08 cases with 100% clearance rate. 30 patients were managed conservatively.Conclusions: ESWL is highly effective in children for small stone burden. Early metabolic evaluation and treatment may prevent further renal damage and recurrence.


2019 ◽  
Vol 17 (2) ◽  
pp. 238-241
Author(s):  
Anil Shrestha ◽  
Prakash Chhettri ◽  
Birendra Kumar Yadav ◽  
Robin Bahadur Basnet ◽  
Parash Mani Shrestha

Background: Urinary stone disease has high prevalence in our belt. The end stage complication of this disease turns out to be a non-functioning kidney, which in fact could be prevented by means of appropriate treatment and follow up.Methods: This is retrospective study of the nephrectomy cases of last 8 years retrieved from the hospital database. Variables like age, sex, indications for nephrectomy, modalities of nephrectomy and morbidities among the primary and recurrent disease were taken into consideration. Analysis were done using Microsoft Excel 2016.Results: Five hundred and twenty-nine nephrectomies were performed in last 8 years at our hospital. Female were more prone for nephrectomies. Age at third and fourth decade were most to be affected. Ninety percentage of nephrectomies were done for benign causes, 65% for the stone disease. The recurrent renal stone disease without any past surgical interventions were more prone to undergo nephrectomies. The conventional open technique of nephrectomy has largely been replaced by laparoscopic means in recent years.Conclusions: The main contributor for nephrectomy in our context is urinary stone disease, which is considered to be the preventable factorKeywords: Nephrectomy; renal stone; urinary stone disease.


2019 ◽  
Vol 13 (01) ◽  
pp. 73-76
Author(s):  
Ayhanim Tumturk ◽  
Senol Tonyali ◽  
Ayse Yasemin Tezer Tekce ◽  
Levent Isikay ◽  
Hakan Cime

Introduction: We aimed to demonstrate if fosfomycin tromethamine (FT) treatment could be the treatment of choice in ESBL-producing Enterobacteriaceae strains as an alternative to carbapenem particularly in patients who we would like to treat on an outpatient basis. Methodology; We retrospectively analyzed the medical records of all patients who admitted to infectious disease outpatient clinic with complaints of dysuria and frequency and received FT for lower UTI between May 2016 and May 2017. Results: A total of 48 patients, 19 females (39.6%) and 29 males (60.4%), with a mean age of 62.5 (ranging from 27 to 85) years were included the study. 26 (76.4%) of patients with a history of urinary operation or intervention had also a history of antibiotic use within the past 3 months. The isolated pathogens included Escherichia Coli (n = 32), Klebsiella spp. (n = 12), Enterobacter spp. (n = 4). The overall microbiological response after treatment was 70.8% (34/48) and the clinical response was 75% (36/48). Clinical and microbiological response rates of patients with and without urinary operation/intervention, diabetes mellitus, history of antibiotic use and malignancy were found similar (p > 0.05). However, patients with a urinary stone disease history had significantly higher response rates than those without a urinary stone disease history (P = 0.042). Conclusion: Oral fosfomycin tromethamine might be the treatment of choice in ESBL-producing enterobactericea related UTIs especially caused by Escherichia Coli.


Author(s):  
Mehmet Yiğit Yalçın ◽  
Mert Hamza Özbilen ◽  
Mehmet Zeynel Keskin ◽  
Yusuf Özlem İlbey

Urinary stone disease is a very common disease in our country. Some problems may be experienced in stone surgery of physically disabled patients. This special patient group may require both minimally invasive and open stone surgery techniques. In this study, the difficulties encountered in the surgery of two physically disabled patients who were operated for stone disease were shared.


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