scholarly journals Urolithiasis (Kalladaippu) - An Evidence Based Case Study

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Shree Devi M S ◽  
Sathiyarajeswaran P ◽  
Siva Lakshmi S ◽  
Daniya Francis

“KALLADAIPPU” (Urolithiasis) “KALPIRAMIYAM”(Urolithiasis) are the synonyms in Siddha and the term equated to renal calculi in allopathic system of medicines. An increasing affluence and adaptation of Western diet habits in many developing countries seem likely to contribute to the changes for the development of renal calculi. Siddha medicine describes certain formulations as Lithotriptic and diuretic which is used in the treatment of renal calculi successfully. This case reported again is an example that proves the efficacy of Siddha medicines for expulsion of renal stones. The synergistic action enhanced resulting in disintegration and elimination of urinary stones from urinary tract.

2011 ◽  
Vol 17 (4) ◽  
pp. 651-656 ◽  
Author(s):  
Sarah Mozafarpour ◽  
Atefeh Sadeghizadeh ◽  
Payam Kabiri ◽  
Hajar Taheri ◽  
Manizheh Attaei ◽  
...  

Author(s):  
Teffy Anish Roy ◽  
Gourav Saxena ◽  
Atul Vyas

Background & Method: The present study was conducted at Department of General Surgery, Index Medical College, Hospital & Research Center, Indore (M.P.). A total of 30 study subjects (post operated cases of urolithiasis) were selected from the surgical ward in Index Hospital from period of 12 months with an aim to Biochemical Analysis of Stones in cases of Urinary Tract Calculus. Result: A total of 46 renal stones were analyzed, from 30 patients. In 30 patients, 18 were Males and 12 Females. The Bio-chemical analysis of renal stones revealed the presence of mixed stones with highest present of Calcium Oxalate stones, followed by uric acid stones. Conclusion: This study demonstrated that in Index Medical College and Hospital a significant proportion of renal stones were containing calcium oxalate as constituent and were non phosphate in composition. The study concluded that the biochemical composition of renal calculi is important during the treatment of renal stone disease and reducing the recurrence by avoiding promoters of stone formation. Keywords: Biochemical, Stones, Urinary Tract & Calculus.


Author(s):  
Priyanka Singh

Background: Despite modern antibiotic therapy and technological advances in lithotripsy, the presence of infection in patients with urinary stones, as well as with infectious stones is still a significant cause of morbidity and mortality. Recent findings lend more theories as to how infection leads to stone formation.Methods: Bacteriological study was conducted on pre-operative urine and operated bladder stones. Pre-operative urine samples were collected aseptically for macroscopic and microscopic examination. Both pre-operative urine and operated renal stones were processed for bacteriological culture. The isolated microorganisms were identified by standard techniques.Results: Urinary tract infection was present in 27.88% cases. Majority of cases urine culture was positive (12.5%). E. coli was the commonest organism pseudomonas aerogenosa 3.84% klebsiella aureogenosa 1.92%, staphylococcus aureus and proteus 0.96% present in and mixed organism was found in 3.84% cases.Conclusions: This study revealed the following aspect: The incidence of urinary stone was higher in patient having predisposing factor: recurrent UTI, Urinary Stasis, Inadequent water intake, anatomical abnormality in urinary tract. The prepoderent microorganism found in stone and urine is E coli, followed by Pseudomonas aeruginosa, Staphylococcus aureus, Proteus.


2021 ◽  
Vol 14 (3) ◽  
pp. 316-322
Author(s):  
Bogdan Geavlete ◽  
◽  
◽  
◽  
Razvan Multescu ◽  
...  

In this paper, we aimed to verify the efficiency and functionality of the new Soltive Thulium Fiber Laser (TFL) in the treatment of urinary stones. The Soltive Laser System was used in 17 urolithiasis cases: 10 renal, 5 ureteral, and 2 bladder stone patients. The average stone size was 13.1 mm (ranging between 11–29 mm) for the kidney, 8 mm (ranging between 6–12 mm) for the ureter, and 31 mm (ranging between 27–34 mm) for the bladder. Only single calculi patients were included in the study. We used 100 and 150 μm core-diameters fibers (CDF). Three settings were applied: 0.15 J/100 Hz for “fine dusting”, 0.5 J/30 Hz for “dusting” and 1 J/15 Hz for the fragmentation mode. The mean operative time was 34 minutes for renal, 21 minutes for ureteral, and 39 minutes for bladder stones. The visibility was optimal in all cases. The stone-free rate at 1 month after treatment was 95% for renal calculi and 100% for ureteral and bladder stones. Very fine dust made of stone fragments smaller than 1 mm in size that passed spontaneously through the access sheath was observed, especially subsequent to the “fine dusting” mode. The complication rate was very low: 1 patient was classified as Clavien grade 1 and 1 patient as Clavien grade 2, and this was the case for renal stones only. No urinary tract infections were observed. The new Soltive TFL appears to be a remarkably promising tool in the therapeutic approach of urolithiasis. Lithotripsy was achieved up to the level of extremely small stone fragments with improved efficiency while also optimizing the operative time.


2021 ◽  
Vol 11 (1) ◽  
pp. 183-189
Author(s):  
Mohammad Shamim Khan ◽  
Syed Shamsul Hasan Tariq

Hisat-e-Kulyah (nephrolithiasis) is one of the most common urological diseases affecting approximately 15 % population worldwide and about 2.3% population of India. It results from a complex process of several physicochemical events including supersaturation, nucleation, growth, aggregation and retention with the kidney. A kidney stone is a hard crystalline mineral material formed within the kidney or urinary tract. Various dietary, non-dietary and urinary risk factors contribute to their formation. High fluid intake and adopting healthy lifestyle measures are some of the cost-effective measures in preventing renal stones. The present paper deals with a case study was conducted on a 13 years old male having multiple calculi (8-10) in left kidney and bilateral ureteric stones, were treated with Qurs-e-Kaknaj, Qurs Kushta Hajrul Yahood, Sharbat-e-Bazoori Motadil. The efficacy of the drugs was assessed based on subjective and objective parameters. Ultrasonography (USG) of the abdomen was performed at baseline and after treatment of 1 month. The follow-up observation was 1 week and the duration of the study was 4 weeks. The clinical improved response was excellent and significant after 7 days of treatment. USG finding was suggestive of the absence of any calculus in the left kidney and ureter after 1 month of Unani treatment without any surgical intervention. The formulations were found to be safe, effective and to prevent urinary supersaturation of lithogenic substances.


Author(s):  
Mohammad Shamim Khan ◽  
Qamrul Hasan Lari

Vesical calculus (Hisat-e-Masanah) accounts approximately 5% of all urinary tract stones. It has bimodal peaks age of incidence at 3 years in children in developing countries, and 60 years in adulthood. Despite advance technology of lithotripsy, the management of vesical calculus in children remains a challenge due to difficulty in passing of stone fragments and adverse effect of surgery. Hence alternative and safe treatment like Unani system of medicine can be adopted to avoid surgical procedure. The present paper deals with a case study in which a 10 years old male child patient suffered from a single vesical calculus was treated with Unani pharmacopeial medicine; Qurs Kaknaj (2 tablets), Qurs Kushta Hajrul Yahood (1 tablet) and Sharbat Buzoori Motadil (10 ml syrup) twice a day as oral administration, with the aim to evaluate the efficacy of drugs and to avoid surgery. Patient has shown excellent and significant result as 8×5 mm size of a stone flushed out at 3rd day of treatment without any operation.


2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


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