scholarly journals Renal stone disease: reasons for non-acceptance of surgical treatment among population of Western Rajasthan, India

2020 ◽  
Vol 7 (6) ◽  
pp. 1001
Author(s):  
Rama Kishan Saran ◽  
Ravindra Purohit ◽  
Pradeep K. Sharma ◽  
M. K. Chhabra ◽  
Gordhan Chaudhary

Background: Renal stone is a common disease in Western Rajasthan. The aim of this study was to identify the causes of patient with renal disease for opting alternative methods for treatment instead of surgical approach.Methods: A prospective study was conducted at the Department of Urology, Dr. SN Medical College, Jodhpur, Rajasthan between August 2018 and July 2019. Patients with diagnosis of complicated renal stone disease including infected hydronephrosis, pyonephrosis, and calyceal rupture were enrolled in this study. Along with demographic characteristics patients were asked to enumerate causes for delay in seeking surgical intervention in sequential order and the reasons given by each patient were recorded separately.Results: A total of 80 patients with complicated renal stone disease were included in the study. Majority of the patients (77.50%) were men. Out of 80 patients, 32 patients were illiterate and 28 patients had primary level of education. Sixty-two patients reported only single reason for their negligence. Eleven and three patients reported two and three reasons, respectively. However, four patients could not provide any reason. The major cause reported by the patients (57.5%) for neglecting their disease was dependence and trust on alternative methods including ayurvedic medicines, homeopathic medicines, bhopas, and superstition.Conclusions: The majority of patients were belonged to lower socioeconomic class reported that dependence and trust on alternative methods including ayurvedic and homeopathic medicines are the major cause of neglecting their disease.

Author(s):  
Adie Viljoen ◽  
Rabia Chaudhry ◽  
John Bycroft

Renal stone disease is a worldwide problem which carries significant morbidity. It frequently requires specialist urology intervention. Patients with recurrent disease and those at high risk require specialist investigations and review. Certain cases benefit from medical and surgical intervention. In this review, we discuss the pathophysiology, risk assessment, specialist investigations and various interventions, their rationale and evidence base. This review aims to provide an update of the previous publication in 2001 in this journal on this topic.


2021 ◽  
Vol 1 ◽  
pp. 31-33
Author(s):  
Sangeetha Geminiganesan ◽  
Latha Ravichandran ◽  
Ramesh Babu Srinivasan

Incidence of renal stone disease/urolithiasis has increased significantly in children due to multifactorial causes. Stones secondary to metabolic abnormalities are treatable if it is identified at the early stage. Surgical intervention may be needed depending on the site, size of the stone, and the clinical presentation. We report a 12-year-old adolescent boy with multiple calculi at various sites who needed medical as well as surgical intervention.


2009 ◽  
Vol 13 (1) ◽  
Author(s):  
Anthony Meyers ◽  
Natalie Whalley ◽  
Maria Martins

Urolithiasis ◽  
1989 ◽  
pp. 753-755
Author(s):  
M. Iguchi ◽  
Y. Ishikawa ◽  
Y. Katayama ◽  
M. Kodama ◽  
M. Takada ◽  
...  

2018 ◽  
Vol 12 (1) ◽  
pp. 243-247
Author(s):  
Marianne Stærk ◽  
Sara A. Tolouee ◽  
Jens J. Christensen

Introduction: Haemophilus influenzae commonly causes upper respiratory tract infections and has only rarely been reported etiology of urinary tract infections. Since the introduction of the Haemophilus influenzae b (Hib) vaccine, non-typable haemophilus species now cause the majority of invasive disease in Europe. Case Report: We report a case of an adult man with non-typable Haemophilus influenzae septicemia, urinary tract infection and bilateral renal stone disease. The patient presented with right sided flank pain and a CT scan showed bilateral renal stones and a right sided ureteral stone causing obstruction. Results and Discussion: Haemophilus influenzae was identified in blood and urine and despite a tendency of increasing antibiotic resistance among Haemophilus influenzae, our strain was susceptible to all antibiotics tested. Treatment consisted of 3 days of intravenous cefuroxime, insertion of a right sided JJ ureteric stent and 5 days of peroral ciprofloxacin after discharge. Physicians and microbiologists should be aware of Haemophilus influenzae as a possible urinary tract pathogen, especially when urinary tract abnormalities are present, and take the risk of antibiotic resistance into consideration at initial treatment.


2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Naomi Issler ◽  
Stephanie Dufek ◽  
Robert Kleta ◽  
Detlef Bockenhauer ◽  
Naima Smeulders ◽  
...  

Renal Failure ◽  
2012 ◽  
Vol 34 (10) ◽  
pp. 1348-1354 ◽  
Author(s):  
Mohamed H. Ahmed ◽  
Hassan T. Ahmed ◽  
Atif A. Khalil

Author(s):  
SUMAN LATA ◽  
VIJAY KHAJURIA ◽  
VINEETA SAWHNEY ◽  
KAMLESH KUMARI

Objective: The objective of present study was to examine the non-adherence among tuberculosis patients to antitubercular drugs and the factors associated with non-adherence. Methods: Prospective observational study was conducted in department of pharmacology Government Medical College, Kathua in collaboration with the district tuberculosis centre, Kathua for a period of four months. TB Patients on treatment for last 8 w were included in the study. The pre validated questionnaire was provided to patients and their responses were analysed. Morisky’s Medication Adherence Scale (MMAS-4) was used to assess adherence/non-adherence to antitubercular drugs. Results: Total 72 patients were included in trial and out of which 60(83.33%) were males and12 (16.66%) were females and the maximum were between 40-50y (38%) of age, mostly illiterate (50%) and from lower socioeconomic status (38%). Out of 60 male patients, 48(80%) showed adherence to anti-tuberculosis drugs, while remaining 12(20%) were non-adherent. Whereas 10females (83%) were adherent and 2 (16.66%) were non-adherent. Forgetfulness (42%), followed by illiteracy (21.4%) and longer distance from health institute (14%) were main reasons for non-adherence. Conclusion: Present study has shown non-adherence is maximum among males, illiterate, low socioeconomic group, longer distance from the health institution.


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