Observational Study of Clinical Features, Biochemical Analysis and Management of Urinary Tract Stones
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Background: The present study was conducted to find out incidence of urinary tract stones, their types and management in patients attending the outpatient department/inpatient ward Methods: The present study was a prospective observational study consisted of 100 clinically and radiologically evaluated cases of urinary stone. The patients were selected from the OPD of Department of Surgery, Government Medical College, Amritsar from Jan 2017 to July 2018 for the period of one and half year. In this study an attempt has been made for the evaluation of clinical trends. Results:-. 56 males and 44 females have presented with urinary tract stones. Maximum number ofpatients were between the age group of 40-49 years and there were 20 males and 6 females in this age group. Only 7 patients in age group 10-19 years and 9 patients in age group of 60-69 years reported with urinary tract stones. Amongst the vegetarians 31 were females and 27 were males whereas 29 males and 13 females were non vegetarian. There was a statistically significant difference in both the groups ( p<0.05) Maximum number of patients (33) presented with history of symptoms of urinary tract stones since 1-2 months whereas only 5 patients reported immediately within 1 week. 27 patients had symptoms from less than 1month and 12 patients gave a prolonged history of symptoms from more than 3 months. 23 patients were in the study group from 2-3 months. 59 had single stone, 9 had staghorn and 32 were diagnosed with single stone.Majority of patients were managed by open surgical procedure (41%) whereas Per Cutaneous Nephrolithotomy was done in 15% of the cases. 28% were medically managed and 16% were managed using Extracorporeal shock wave lithotripsy. Amongst the various open surgical procedures pyelolithotomy was done in 19 cases, ureterolithotomy in 17 cases and 5 cases were managed by cystolithotomy.In our study according to the chemical composition of the urinary stones, most of the stones examined were of calcium oxalate + uric acid 20%, calcium oxalate 20%, calcium oxalate + calcium phosphate 20%, pure uric acid 5% and calcium oxalate + calcium phosphate + uric acid 6%. Conclusion: It can be concluded that the incidence of urinary tract stone is more in males than females. Most frequent type of stone both in female and male subjects is of calcium type and there is significant correlation between duration of symptoms and presence of hydronephrosis.
Authors and Affiliations
Dr. Sudershan Kapoor, Dr. Amarbir Singh, Dr. Jasmeet Singh, Dr. Inderpal Kaur, Dr. Ashwani Kumar
Keywords
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- EP ID EP428638
- DOI 10.9790/0853-1712106874.
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