Composition of Uroliths seen in patients in Abuja, Nigeria: a single centre retrospective analysis of 155 stones

Abstract Background Uroliths are stones formed in the urinary tract. Analysis of stones helps to identify risk factors for their development and prevention of recurrence. Standard stone analysis using modern technology is not routinely done in Nigeria. This study sought to determine the chemical composition of urinary stones seen in Abuja, Nigeria. Methods This was a retrospective study on composition of uroliths. Urinary stones surgically removed from 155 patients through minimal access surgical procedures between January 2015 and August 2019 were analysed. Optical crystallography and infrared spectroscopy were used to determine the chemical composition of the urinary stones. Results A total of 155 urinary stones were assembled from the patients. More stones were removed from male patients and the male to female ratio was 1.9:1. Stones were rare in the extremes of age. The predominant location (89.7%) of stones was in the upper urinary tract. All stones were of mixed composition with calcium oxalate accounting for 93.55%. Calcium oxalate, calcium phosphate and uric acid stones were more common in the upper tract, while 2 of the 3 struvite stones were found in the lower tract. Conclusion Stones found in this study were of mixed composition with the most common constituent being Calcium oxalate and the least common, struvite.

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Study on Uroliths Composition in Tertiary Care Hospital of Pakistan

10.53350/pjmhs211571818 ◽

2021 ◽

Vol 15 (7) ◽

pp. 1818-1821

Author(s):

Ijazur Rehman ◽

Humayun Khan ◽

Ahmad Farooq ◽

Arshid Mahmood ◽

Qazi Ali Mohayud Din ◽

...

Keyword(s):

Urinary Tract ◽

Calcium Oxalate ◽

Cross Sectional Study ◽

Urinary Stones ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Female Ratio ◽

Male Patients ◽

Struvite Stones

Background: Identification of risk factors for urolith stones formed in the urinary tract could help in preventing the recurrence. Urolith stones analysis utilized modern technology which is unfortunately not done in Pakistan on a routine basis. Development of renal failure may occur due to complications and urinary tract affected by uroliths. Objective: The current study aims to determine the composition of urolith stones seen in patients admitted in single Centre in Pakistan. Materials and Methods: This cross-sectional study was carried out on urolithstones composition surgically removed through minimum access procedure at Urology department of Ayub Teaching Hospital, Abbottabad for period of six months from October 2020 to March 2021. Urinary stones composition was measured through qualitative tests such as infrared and crystallography spectroscopy. Statistical analysis was performed in SPSS version 20. Results: A total of 82 patients with mean age ± SD 45.3±11.7 years having urinary stones were investigated in this cross-sectional study. Male to female ratio was 1.9:1. Male patients (54) (65.85%) were dominant over females (28) (34.15%) in term of stones removal. A high occurrence for urinary stones was bladder or upper urinary tract (81.6%) irrespective of their gender. Calcium containing stones were predominant in ureter, urethra and renal followed by struvite stones (56.8%). Two-third stones in struvite stones were in lower tract while uric acid, calcium phosphates and calcium oxalate were found in upper tract. Calcium oxalate account for 92.60% with mixed composition stones. Conclusion: Our study concluded that the majority of uroliths constitute calcium oxalate or phosphates and struvite stones in our setting. Uroliths formation is caused by urinary tract infection as indicated in our study. Calcium oxalate was the most common among these stones. Struvite stones were the least common one. The prevalence of stones was dominant in male patients compared to female patients. The anatomical location for calcium oxalate and struvite stones was lower tract and bladder respectively. Keywords: Uroliths, Composition, Calcium oxalate, Struvite stone

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Urolithiasis in male patients: A pilot study on the ethnic differences and clinical profile

Nepal Journal of Epidemiology ◽

10.3126/nje.v4i4.11359 ◽

2014 ◽

Vol 4 (4) ◽

pp. 393-98

Author(s):

Jayadevan Sreedharan ◽

LJ John ◽

HAM Aly Freeg ◽

J Muttappallymyalil

Keyword(s):

Uric Acid ◽

Calcium Oxalate ◽

Calcium Oxalate Monohydrate ◽

Dietary Factors ◽

Clinical Profile ◽

Urinary Stones ◽

Ureteral Stones ◽

Stone Size ◽

Uric Acid Stones ◽

Male Patients

Background Ethnicity play a role in the occurrence of urinary stones, probably related to climatic, environmental and dietary factors in ethnic groups. The association between ethnicity, age, clinical profile, stone size with type of ureteric stones among males with urolithiasis was studied. Materials and Methods Male patients (>18 years) with lower ureteral stones size <10mm attending outpatient department of Urology, at a private hospital, Ajman over a period of one year were included. Ethics approval was obtained from Institutional Ethics Committee. Data was retrieved from the case records which included socio-demographic variables (age, ethnicity), clinical profile (ureteric colic, duration of pain, other complaints), and laboratory investigations (type of stone, stone size). Descriptive and inferential statistics were performed with SPSS-20 and p values <0.05 considered significant. Results 185 male patients were included. Mean age was 41.5 (7.3) years, range (22-71) years. Out of the total, 81 (43.8%) patients were Asians, 81(43.8%) Arabs and 23 (12.4%) were of other ethnicity. Most patients (95.1%) presented with ureteric pain. 49 (26.5%) had family history of stone disease where calcium oxalate monohydrate and uric acid stones were common, with majority being first degree relation. Data on stone type was available for 90 patients; of which, 21 were calcium oxalate monohydrate, 33-calcium oxalate dehydrate, 24-uric acid and remaining 12 other form of stones. Average age for different types of stone was 38.3, 41.6, 39.4 and 42.8 years for calcium oxalate monohydrate, calcium oxalate dehydrate, uric acid and other types respectively. Conclusion Uric acid stones were more prevalent among Asians and calcium oxalate-dehydrate stones among Arabs. Future studies can be conducted among multiethnic population focusing on dietary pattern and stone analysis.DOI: http://dx.doi.org/10.3126/nje.v4i4.11359 Nepal Journal of Epidemiology 2014; 4(4):393-98

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THE MINERAL COMPOSITION OF URINARY TRACT STONES IN KHOST, AFGHANISTAN

Journal of Applied Pharmaceutical Sciences and Research ◽

10.31069/japsr.v3i1.4 ◽

2020 ◽

pp. 14-16

Author(s):

Baitullah Abdali ◽

Khoshal Janatzai

Keyword(s):

Uric Acid ◽

Urinary Tract ◽

Urinary Bladder ◽

Calcium Oxalate ◽

Mineral Composition ◽

Public Awareness ◽

Ammonium Oxalate ◽

Urinary Stones ◽

Female Ratio ◽

Urinary Tract Stones

Background: The urinary tract stones include renal (nephrolithiasis), ureter (ureterolithiasis), and urinary bladder stones (cystolithiasis). The knowledge of the mineral composition of the urinary tract stone is important for the treatment, patient education, and to develop preventative strategies. Aim: This study aims to characterize the proportion of different types of urinary tract stones and their chemical composition in Khost province. Material and Methods: A retrospective, the hospital-based study design was used. The stones were analyzed using simple qualitative biochemical tests. A total of 63 patients were included in this study from Sept 2016 to Aug 2019. The stones were checked for the presence of calcium, magnesium, ammonium, oxalate, phosphate, uric acid, and cystine. Results: The results obtained showed the incidence of the kidney (48 stones), ureteric (4 stones), urinary bladder (11 stones) at the age group of 18-75 years (mean 56.2). The incidence in men was higher than women, male to female ratio being 3:1. The chemical analysis of overall stones has shown that 88.21% had mixed compositions, and 11.79% presented a unique composition. The majority of stones obtained from women was cystine (70%) and oxalate (72%) stones, whereas the majority of stones in men were that of calcium oxalate (76%) and uric acid (74%) stones. Eight of the stones were pure of calcium oxalate, five were pure uric acid, 7 were pure cystine, and 43 were mixed stones. Among the mixed stones, oxalate was present in 32 samples (43 of total), calcium was present in 36 samples, uric acid was seen in 17, phosphate was present in 23, and cysteine was present in 14 stones. Conclusion: This study showed that the most common type of mineral composition found in different urinary stones is calcium oxalate (81%), followed by cystine and uric acid. Further broader and large scale studies are required to assess the mineral base of the urinary tract stones in Afghanistan to develop preventive strategies and promote public awareness about dietary recommendations.

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Chemical composition of urinary stones in Rahim Yar Khan and adjacent districts of Sindh and Baluchistan

Annals of King Edward Medical University ◽

10.21649/akemu.v12i2.886 ◽

2016 ◽

Vol 12 (2) ◽

Author(s):

Abdul Hakeem ◽

Muhammad Tariq ◽

Mehboob Bari ◽

Muhammad Hassan Abbas ◽

Muhammad Anwar

Keyword(s):

Calcium Oxalate ◽

Urinary Calculi ◽

Ammonium Phosphate ◽

Upper Urinary Tract ◽

Pure Form ◽

Urinary Stones ◽

Magnesium Ammonium Phosphate ◽

Female Ratio ◽

Magnesium Ammonium ◽

Urinary Tract Calculi

Aim: To find out the constituents of the urinary stones, so that preventive measures would be taken against recurrence. Patients and methods: A total No. of 200 consecutive patients with upper urinary tract calculi, that were operated in the urology and general surgical wards of Sh. Zayed Hospital Rahim Yar Khan were included in the study. In addition to Rahim Yar Khan the patients also came from adjacent districts of Sindh and Baluchistan. Qualitative Chemical analysis was carried out using Merchognost (Germany) urinary calculi analysis kit. All the tests were performed according to the instruction of manufacturers of the kit. Results: Stone samples were collected from 200 patients, out of these 138 (69%) were male and 62 (31%) of patients were female with male to female ratio 2.2:1 age range was between 9-72 years. Results of stone analysis indicate that calcium oxalate is the most common ingredient found in 100% of the stone samples. In 83% of patients it was found mixed with other varieties of stones while in 17% samples it was seen in pure form. Uric acid was the second most common ingredient seen in 73% of patients mixe d with calcium oxalate and magnesium ammonium phosphate but it was not found as pure form. Magnesium Ammonium phosphate found in 13% of stones samples in mixed form only, not as isolated stone.

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Spectrum of chemical analysis of 150 consecutive upper urinary tract stones with critical analysis in respect of demographic and geographical distribution

International Surgery Journal ◽

10.18203/2349-2902.isj20211942 ◽

2021 ◽

Author(s):

Waliul Islam ◽

Fazal Naser ◽

Mahmood Hasan ◽

Mohammed Mizanur Rahman ◽

Mizanur Rahman ◽

...

Keyword(s):

Uric Acid ◽

Chemical Composition ◽

Calcium Oxalate ◽

Geographical Origin ◽

Age Groups ◽

Urinary Stones ◽

Mixed Composition ◽

Calcium Oxalate Stone ◽

Significant Difference ◽

Cystine Stone

Background: The aim of the study was to evaluate the chemical composition of urinary stones and pattern of changes according to the patient's demographic and geographical distribution.Methods: 150 patients of upper tract urolithiasis were prospectively selected during the study period. Chemical composition was analyzed by FTIR spectroscopy. A subgroup study based on the patient's age, sex and geographical origin was done. For subgroup analysis patients were divided into two age groups; group A (5-18 years, 14 patients) and group B (>18 years, 136 patients). The geographical origin of the patients was recorded according to the administrative division.Results: Male were predominant in all age groups with ratio of 2.49:1. Most of the patients were from Rangpur (28.67%) and Mymensingh (20.67) division. Mixed composition stones were much more common than pure one (75.99% vs 24.01%). Overall, combination of calcium oxalate monohydrate with dehydrate was the most common composition (56.67%). Calcium oxalate was the predominant chemical composition in 82% of stones, followed by struvite in 9.33%, apatite in 4.67%, uric acid in 3.33% and cystine in 0.67%. The proportion of calcium oxalate stone was increasing while that of struvite, uric acid, and cystine stone was decreasing with age. But stone composition did not show any significant difference on geographical distribution.Conclusions: Calcium oxalate is the most common composition of urinary stones in all age groups. Mixed stones are more common than pure ones. The incidence of calcium oxalate stone increases while that of struvite, uric acid, and cystine stone decreases with age.

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Morphoconstitutional analysis of a series of 166 urinary stones in Western Algeria for a period of two years (2015-2017)

South Asian Journal of Experimental Biology ◽

10.38150/sajeb.7(3).p107-112 ◽

2018 ◽

Vol 7 (3) ◽

pp. 107-112

Author(s):

Bouzana Fatima ◽

Sbahi Khayra ◽

Kerroumi Slimane ◽

Attar Abderahmane ◽

Seghir Madjhouda Omar ◽

...

Keyword(s):

Urinary Tract ◽

Sequential Analysis ◽

Left Kidney ◽

Urinary Stones ◽

Female Ratio ◽

Composition And Structure ◽

Male Female Ratio ◽

Anatomical Localization ◽

Western Algeria ◽

The Right

A stone is not only an obstacle, sometimes painful, on the urinary tract justifying an emergency urological gesture to restore their permeability. It is primarily a symptom of crystallogenic pathologies or urinary imbalances of nu-tritional origin whose recurrence is the rule if the cause has not been correctly identified. It is therefore recommended in the patient's interest; analyze the calcul or its fragments to determine its composition and structure, one and / or the other orienting towards the pathology in question. A series of 166 urinary stones were collected nearby the hospitals of western Algeria after urological intervention or spontaneous expulsion and sequential analysis of the nucleus at the surface by Fourier transform infrared spectrophotometry. The male / female ratio was 1.78. The study of the anatomical localization of the stones showed a predominance of the high urinary tract with a rate of 76.9%. 27.3% of the stones were located in the left kidney compared to 25.7% in the right kidney. Analysis of the crystalline composition showed that calcium oxalate was predominant in 65.8% of the calculs and in 58.5% of the nuclei. In all, whewellite was present in 46.9% of cases and weddellite in 18.9%. uric acid anhydrous was the major component of 12.2% of the calculations analyzed. It was present in 23.3% of cases with predominance in subjects over 60 years. Our results show that the lithiasis of the urinary tree in western Algeria tends to evolve in the same direction as that of the industri-alized countries.

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Efficacy of Hounsfield Unit of CT in Prediction of the Chemical Composition of Urinary Stones

QJM ◽

10.1093/qjmed/hcab110.004 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Ahmed Salah Mahmoud Ahmed Shehata ◽

Mohamed Rafik El-Halaby ◽

Ahmed Mohamed Saafan

Keyword(s):

Uric Acid ◽

Chemical Composition ◽

Calcium Phosphate ◽

Calcium Oxalate ◽

Chemical Structure ◽

Urinary Calculi ◽

Hounsfield Unit ◽

Urinary Stones ◽

The Mean ◽

Struvite Stones

Abstract Objectives to make a reliable correlation between the chemical composition of the urinary calculi and its Hounsfield unit on CT scan, upon which we can depend on it for prediction of the type of the urinary calculi. The prediction of the chemical structure of the stone would help us to reach a more efficient therapeutic and prophylactic plan. Methods A retrospective study was performed by interpretation of the preoperative CT scans for patients who were presented by urinary stones. Identification of the chemical structure of the calculi was implemented using Fourier Transform Infrared Spectroscopy (FT-IR spectroscopy). The laboratory report revealed multiple types of stones either of pure or mixed composition. Afterwards, a comparison was done between Hounsfield units of the stones and the chemical structure. Results The chemical structure of the urinary stones revealed four pure types of stones (Uric acid, Calcium Oxalate, Struvite and Cystine) and two types of mixed stones (mixed calcium oxalate+ Uric, and mixed calcium oxalate+ calcium phosphate). Uric acid stone had a mean Hounsfield Unit (HU) density of428 ± 81, which was quite less than the other stones, followed by struvite stones with density ranging about 714 ± 38. Mixed calcium oxalate stones could be differentiated from other types of stones like uric acid, pure calcium oxalate and struvite stones by the Hounsfield unit of Computed Tomography (the mean Hounsfield Unit was 886 ± 139 and 1427 ± 152 for mixed calcium oxalate + uric stone and mixed calcium oxalate + calcium phosphate stones respectively). Moreover, pure calcium oxalate stones were easily differentiated from all other stones using the mean Hounsfield density as it was 1158 ± 83. It was challenging only when it was compared to cystine stones, as they were quiet similar to HU value (997 ± 14). The variation of Hounsfield values among the previously mentioned stones, was statistically significant (p < 0.001). Conclusion The study proved that the Hounsfield Unit of CT scanning is a convenient measure to predict the chemical structure of urinary calculi.

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Kidney Stone Composition in Various Country Around the World

10.21203/rs.3.rs-286555/v1 ◽

2021 ◽

Author(s):

Adam Halinski ◽

Elenko Popov ◽

Kamran Hassan Bhattikam ◽

Luca Boeri ◽

Jonathan Cloutier ◽

...

Keyword(s):

Uric Acid ◽

Calcium Phosphate ◽

Calcium Oxalate ◽

Urinary Stones ◽

Stone Composition ◽

Calcium Stones ◽

Uric Acid Stones ◽

The World ◽

Cystine Stones ◽

Struvite Stones

Abstract To compare urinary stone composition patterns in different populations around the world in relation to the structure of their population, dietary habits, and climate. 1204 adult patients with urolithiasis and stone analysis was included . International websites were searched to obtain data. We observed 710(59%) patients with calcium oxalate, 31(1%) calcium phosphate, 161(13%) mixed calcium oxalate/calcium phosphate, 15(1%) carbapatite, 110(9%) uric acid, 7(<1%) urate, 100(9%) mixed uric acid/ calcium oxalate, 56(5%) struvite and 14(1%) cystine stones. Calcium stones were the most common in all countries (up to 91%) with the highest rates in Canada and China. Oxalate stones were more common than phosphate or mixed phosphate/oxalate stones except Egypt and India. The rate of uric acid stones, being higher in Egypt, India, Pakistan, Iraq, Poland, and Bulgaria. Struvite stones occurred in less than 5% except India (23%) and Pakistan (16%). Cystine stones occurred in 1%. The frequency of different types of urinary stones varies from country to country. Calcium stones are prevalent in all countries. Uric acid stones seems to depend mainly on climatic factors, being higher in countries with desert or tropical climates. Dietary patterns can also lead to an increase it. Struvite stones are decreasing in most countries.

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