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

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.

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.


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

2018 ◽  
Vol 19 (4) ◽  
Author(s):  
Patrick Jones ◽  
Muhammad Elmussareh ◽  
Omar M. Aboumarzouk ◽  
Phillip Mucksavage ◽  
Bhaskar K. Somani

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.


2007 ◽  
Vol 35 (03) ◽  
pp. 533-541 ◽  
Author(s):  
Yu-Cheng Chen ◽  
Chien-Yi Ho ◽  
Lieh-Der Chen ◽  
Sheng-Feng Hsu ◽  
Wen-Chi Chen

Urinary stone disease is a common disease and has a high rate of recurrence. There is no ideal long-term medical treatment to prevent the recurrence of urinary stones. Wu-Ling-San (WLS) formula has been used for centuries in China for long-term treatment of urological diseases. However, no pharmacological studies have been conducted to evaluate its effect on urinary stone disease. Therefore, using a photospectrometer, we studied the effects of WLS on nucleation, growth and aggregation of calcium oxalate in vitro. The results showed that WLS extract significantly slowed the speed of calcium oxalate ( CaOx ) crystal nucleation. WLS extracts at concentrations of 6.25, 12.5, 25, and 50 mg/ml inhibited nucleation of calcium oxalate crystallization by 344, 387, 543, and 943%, respectively. WLS extracts did not inhibit the growth of CaOx crystallization; however, WLS extracts at concentrations of 12.5 and 25 mg/ml significantly inhibited the aggregation of CaOx crystallization by 74.24% and 75.05%, respectively. WLS extract at a concentration of 50 mg/ml inhibited CaOx aggregation by 92.49%. In conclusion, our results indicate that WLS extract inhibited calcium oxalate nucleation and aggregation, and may have the potential to prevent stone recurrence.


Author(s):  
Alina Reicherz ◽  
Patricia Rausch ◽  
Roman Herout ◽  
Joachim Noldus ◽  
Peter Bach

Abstract Purpose Urinary stone disease is a common disease with a prevalence of 4.7% in Germany. The incidence increased over the last decades, and recurrence rates are up to 50% in the first 5 years after diagnosis. Adequate preventive measures can avoid up to 46% of stone recurrences. These numbers outline the importance of prevention. Especially among high-risk stone formers, specific diagnostics and measures are required. Published data indicate the divergence between the importance of prevention and its implementation in everyday clinical practice. This is the first survey among German urological departments highlighting medical care concerning the prevention of recurrent urinary stone disease, identifying challenges and providing recommendations for improvements. Methods Two hundred and seventy urological hospital departments in Germany were anonymously surveyed about measurements to prevent recurrent stone disease. The questionnaire comprised 23 items dealing with diagnostics, counselling, knowledge among doctors concerning preventive measures and difficulties in preventing recurrent urinary stone disease. Results Sixty-three urological departments (23.8%) answered the survey. The majority perform stone analysis at first and repeat events. Most patients with urinary stone disease receive general advice on preventive measures during their hospitalization. General recommendations focus on fluid intake and lifestyle changes. However, specific diets are infrequently recommended by inpatient urologists. Diagnostics to identify high-risk stone formers are mostly insufficient, and guideline-compliant urine tests are uncommon. Conclusion The quality of secondary prevention needs to improve considerably. The focus should be put on identifying high-risk stone formers and offering those patients specific counselling. Furthermore, general advice on dietary recommendations should be extended.


2004 ◽  
Vol 4 ◽  
pp. 35-41 ◽  
Author(s):  
Hans-Göran Tiselius

Formation of urinary tract concrements is a common disease and steps should be taken in order to elucidate the underlying mechanisms and to give the patients appropriate advice and medical treatment. This present article summarizes the principles for recurrence preventive measures in patients with uric acid, infection, cystine and calcium stone disease. Categories of stone formers are identified with the aim of providing a basis for an individualised treatment with a reasonable patient's compliance. The recommendations are in line with those given by the EAU guideline group for urolithiasis.


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.


Sign in / Sign up

Export Citation Format

Share Document