Biochemical Analysis of Urinary Calculi in Patients Undergoing Surgery for Urolithiasis- A Prospective Study
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 12
Abstract
Background: Kidney stones are defined as solid lumps of varying size that are formed by build up of crystals that have separated from urine on the inner side of kidneys. They are formed by precipitation of ions within the urine. The aim of present study is to study the incidence of urolithiasis at different levels in the urinary tract, determine the biochemical composition of urinary stones extracted after surgery and to suggest measures to prevent recurrence of stones in our patients. Materials and methods: The present prospective study was conducted in the Department of General Surgery, Maharaja Agrasen Medical College, Haryana. The study included 100 cases of urolithiasis from Surgical OPD and patients admitted in surgical wards. The study was conducted for a period of 1 year i.e. from November 2015 and December 2016. An elaborate history was obtained from all the patients and was correlated with the physical examination. Laboratory evaluation in an acute setting of renal colic generally includes measurement of a complete blood count (CBC), serum electrolytes and renal functions. All the data was arranged in a tabulated form and SPSS software was used for analysis. Pyelolithotomy was done in 33% cases. PCNL and Cystolitholopaxy were used in 1 case. Extraction of stone from urethera was done in 2 cases. Results: In 42% of the cases stones were present in Kidney. The next most common site for calculi was ureters i.e. 28.28%. In maximum number of cases i.e. 78% the results were sterile. Only in 22% of the cases, infected results were obtained. Out of these, in 12% cases E. coli was obtained. Conclusion: From our study we conclude that stones are predominantly of pure calcium oxalate followed closely by calcium oxalate + uric acid stones being 34%.
Authors and Affiliations
Sandeep Kumar Goyal, Swapnil Garg, Sandeep Beniwal, Vikas Yadav, Gopal Singhal
Keywords
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