Methods of Drainage of the Upper Urinary Tract with Obstructive Purulent Pyelonephritis Caused by the Urinary Stone Disease

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.

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Urinary Tract Infection and Urinary Stone Disease

Urolithiasis ◽

10.1007/978-1-4899-0873-5_86 ◽

1989 ◽

pp. 279-280

Author(s):

S. Vasudevan ◽

K. Sachidev ◽

S. Sindhu ◽

R. Vathsala ◽

Y. M. Fazil Marickar

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Urinary Stone ◽

Stone Disease ◽

Urinary Stone Disease

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Advantages of Herbal Over Allopathic Medicine in the Management of Kidney and Urinary Stones Disease

Borneo Journal of Pharmacy ◽

10.33084/bjop.v3i3.1415 ◽

2020 ◽

Vol 3 (3) ◽

pp. 179-189

Author(s):

Saurabh Nimesh ◽

Vrish Dhwaj Ashwlayan ◽

Rubi Rani ◽

Om Prakash

Keyword(s):

Urinary Tract ◽

Side Effects ◽

Herbal Medicines ◽

Urinary Stone ◽

Stone Disease ◽

Urinary Stones ◽

Common Disease ◽

Herbal Therapy ◽

Urinary Stone Disease ◽

Based Medicine

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.

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A clinical example of percutaneous nephrolitolapaxy of complete staghorn kidney stone in patient with lumbar renal dystopia

Siberian medical review ◽

10.20333/25000136-2021-6-94-98 ◽

2021 ◽

Vol 6 ◽

pp. 94-98

Author(s):

A.G. Berezhnoy ◽

◽

S.S. Dunaevskaya ◽

A.V. Ershov ◽

◽

...

Keyword(s):

Kidney Stone ◽

Urinary Stone ◽

Upper Urinary Tract ◽

Stone Disease ◽

Percutaneous Surgery ◽

Urinary Stone Disease ◽

Shape Structure ◽

Working Age ◽

Renal Abnormalities ◽

Comprehensive Study

Urinary stone disease (urolithiasis, UL) is one of the most prevalent diseases in the world affecting almost 3% of the population, mainly people of working age from 40 to 50 years, which determines the relevance of a comprehensive study of this disease. Meanwhile, few works devoted to the interrelation between UL and renal abnormalities have been published. The unusual nature of angioarchitectonics, location, shape, structure, number of kidneys and upper urinary tract make it difficult to perform both open and endoscopic surgery thus preconditioning the reduction of their effectiveness and increasing the number of complications. In recent years, the number of indications for open stone surgery has significantly decreased. Percutaneous surgery has become widely used in endourology, including treatment of abnormal kidneys. However, the issues of percutaneous nephrolitolapaxy (PCNL) in kidney abnormalities have not been completely resolved yet. The article presents a clinical case of successful percutaneous nephrolitolapaxy of complete coral-shaped kidney stone (Class 4) in a patient with lumbar renal dystopia.

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Konsumsi Makanan yang Berisiko terhadap Kejadian Batu Saluran Kemih

Jurnal Vokasi Kesehatan ◽

10.30602/jvk.v4i1.10 ◽

2018 ◽

Vol 4 (1) ◽

pp. 46

Author(s):

Elly Trisnawati ◽

Jumenah Jumenah

Keyword(s):

Urinary Tract ◽

Food Consumption ◽

Vegetable Consumption ◽

Urinary Stone ◽

Stone Disease ◽

P Value ◽

Chi Square ◽

Urinary Stone Disease ◽

Purposive Sampling ◽

Urinary Tract Stones

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.

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Difficulties in the Treatment of Urinary Tract Stone Disease in Physically Disabled Patients: Report of Two Cases

The Journal of Tepecik Education and Research Hospital ◽

10.5222/terh.2020.15010 ◽

2020 ◽

Author(s):

Mehmet Yiğit Yalçın ◽

Mert Hamza Özbilen ◽

Mehmet Zeynel Keskin ◽

Yusuf Özlem İlbey

Keyword(s):

Urinary Tract ◽

Minimally Invasive ◽

Urinary Stone ◽

Stone Disease ◽

Common Disease ◽

Urinary Stone Disease ◽

Physically Disabled ◽

Urinary Tract Stone ◽

Disabled Patients ◽

Special Patient

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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Stones in Dystopic Kidneys

Journal of Endoluminal Endourology ◽

10.22374/jeleu.v1i1.4 ◽

2018 ◽

Vol 1 (1) ◽

pp. e17-e20

Author(s):

Mohammed El Hadi ◽

Nisha Ranga ◽

Shabi Ahmad

Keyword(s):

Urinary Tract ◽

Correct Diagnosis ◽

Anatomical Variations ◽

Urinary Stone ◽

Stone Disease ◽

Renal Anomalies ◽

Urinary Stone Disease ◽

Appropriate Treatment ◽

Life Threatening ◽

Tract Infections

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.

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