Abstract
Purpose: Almost half of the patients have had recurrent nephrolithiasis despite undergoing effective treatment. Our objective is to determine the recurrence rate of lithiasis after endourological management of nephrolithiasis and identify the risk factors for these recurrences.Methods: Data were gathered retrospectively from all patients who were treated for nephrolithiasis by endourological management from May 2014 to January 2017 in our university hospital. All patients who had postoperative renal colic and/or stone upon an imaging study were considered to have recurrent disease. The patients were devised into two groups: with and without recurrence. Many variables were also compared between these two groups.Results: A total of 190 patients were included in our study. At the end of a median follow-up of 32 months (range, 13–61 months), 25.8% of patients had a recurrent stone. In the multivariate analysis, the risk factors for recurrence were diabetes (HR: 7.9; p <0.001) and smoking (HR: 3.5; p <0.029). While the body mass index greater than 25 kg/m2 (HR: 2; p <0.05) appears as a risk factor for recurrence only in the univariate analysis. However, age (HR: 0.96; p <0.003) and blood hypertension (HR: 0.37; p <0.027) were protective factors. The stone characteristics, urological history, and alcoholism had no apparent effect on stone recurrence.Conclusion: Stone recurrence is common after the management of urinary stones. In this study 25.8% of patients had recurred stone disease after endourological management with a median follow-up of 32 months. Our study findings showed that diabetes and smoking are risk factors for recurrence, while age and blood hypertension are protective factors that decreased the risk of recurrence.
Objective: To assess the knowledge and practice patterns among medical officers of DHQ Hospital, Faisalabad in the prevention of recurrent renal stones. Cross sectional study. DHQ hospital, Faisalabad during 01-01-2019 to 30-09-2019. Methods: In this study the medical officers of either gender and age more than 25 years and working in DHQ Hospital, Faisalabad were included. They were assessed on the basis of a designed questionnaire regarding their general practice and knowledge in order to prevent renal stone recurrence. The paper based questionnaire was circulated to medical officers in different departments of the hospital. Results: In this study total 225 medical officers that were included. 135 (60%) of these participants were males and 90 (40%) were females. The mean age of the participants was 29.70±3.21 years. The mean working experience was 4.40±2.18 years. On assessment, 65.67% medical officers had adequate knowledge regarding recurrent renal stone prevention according to latest practice guidelines. Unfortunately 62.22% respondents were not practicing their knowledge adequately. Conclusion: The knowledge regarding the clinical practices in light of recent guidelines was optimal, however the practice regarding the preventive strategies was below power. Keywords; Renal stone, Recurrence, Medical officer, prevention.
Correction to: Low insertion of cystic duct increases risk for common bile duct stone recurrence