Clinical Profile of Patients with Renal Calculi in a Tertiary Care Centre

Jump To References Section

Authors

  • PG Resident, Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & Research Centre, Nashik - 422003, Maharashtra, India ,IN
  • Professor & Head, Department of General surgery, Dr. Vasantrao Pawar Medical College Hospital & Research Centre, Nashik - 422003, Maharashtra, India ,IN

Keywords:

Profile, Renal Calculi, Tertiary care centre
Renal calculi

Abstract

Aims: To study the clinical profile of patient diagnosed with renal calculi. To study various Ultrasonographic findings of renal calculi. To study early complications associated with various management techniques. Materials and method: Total of 73 subjects will be included in present study after they satisfy inclusion and exclusion criteria. Intra and post operative complication if any was noted. Results: Ureter is the most common site of renal calculi followed by renal pelvis. complications with minimal invasive procedures is less as compare to open surgical procedure group with shorter hospital stay as early return to work. Conclusions: Ureter being the most common site, URSL was the most common intervention performed followed by PCNL. As compared to open techniques; in minimal invasive procedures rate of post interventional complications, duration of analgesics and days of hospital stay are low, improving the patient acceptance of the procedures.

Author Biographies

Sagar P Kolhe, PG Resident, Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & Research Centre, Nashik - 422003, Maharashtra, India

SENIOR RESIDENT, DEPT OF GENERAL SURGERY, DR. VASANTRAO PAWAR MEDICAL COLLEGE HOSPITAL & RESEARCH CENTRE.

Sudhir D Bhamre, Professor & Head, Department of General surgery, Dr. Vasantrao Pawar Medical College Hospital & Research Centre, Nashik - 422003, Maharashtra, India

PROFESSOR & HOD, DEPT OF GENERAL SURGERY, DR. VASANTRAO PAWAR MEDICAL COLLEGE HOSPITAL & RESEARCH CENTRE.

Downloads

Published

2017-12-14

Issue

Section

Original Research Article

 

References

Shah J, Whitfield HN. Urolithiasis through the ages. BJU International. 2002; 89(8):801–10. https://doi.org/10.1046/ j.1464-410X.2002.02769.x PMid:11972501

Chakravorty RC. The treatment of wounds and abscesses Sutrasthanam of the Sushrutsamhita. Indian Journal of Surgery.1969; 31:261–6.

Chakravorty RC. Urinary stones: Their cause and treatment, as described in SUSHRUTSAMHITA.

Dimopoulos C, Gialas A, Likourinas M, Androutsos G, Kostakopoulos A. Hippocrates: Founder and pioneer of urology. Br J of urol. 1980; 52(2):73–4. https://doi.org/10.1111/j.1464-410X.1980.tb02931.x

Riches E. The history of lithotomy and lithotrity. Annals of Royal College of Surgeons of England. 1968; 43(4):185–99.PMid:4880647 PMCid:PMC2312308

Urquhart-Hay D. The knife and the stones. Aus and NZ J Surg. 1999; 69(4):267–75.https://doi.org/10.1046/j.14401622.1999.01565.x

Abder-Halim RE, Altwaijiri AS, Elfaqih SR, Mitwalli AH.Extraction of urinary bladder stones as described by Abdul Qasim khalaf Ibn Abbas Alzahrawi (albucasis) (325-404 H, 930-1018 AD) A translation of original text and commentary.Saudi Med J. 2003; 24(12):1283–91.

Kirkup JR. The history and evolution of surgical instruments.Annals of Royal College of Surgeons of England.1981; 63(4):279–85. PMid:7018356 PMCid:PMC2493802

Ellis H. A history of bladder stones. J of Royal Society of Med. 1971; 45(1):76–9.

Herr HW. Cutting for the stones: The ancient art of lithotomy. BJU Int. 2008; 101(10):1214–16. https://doi.org/10.1111/j.1464-410X.2008.07510.x PMid:18284407

Verit A, Aksoy S, Kafali H, Verit FF. Urologic technique of serefeddin Sabuncuoglu in the 15th century Ottoman period.Urology. 2003; 62(4):776–8. https://doi.org/10.1016/ S0090-4295(03)00004-9

Kiefer JH. Frere Jacques Beaulieu (1651-1714). Investigative Urol. 1970; 7(6):543–4.

Antonello A, Bonfante L, Favaro S, et al. Hermann boerhaave and lithotomy: What he thought about it. American J of Nephro. 2002; 22(2-3):290–4. https://doi.org/10.1159/000063776 PMid:12097755

Kiefer JH. Jean Civiale (1792-1867). Investigative Urol.1968; 6(1):114–7.

Bigelow HJ. Lithotrity by a single operation. American J of Med Sci. 1879; 75(149):117–34. https://doi.org/10.1097/00000441-187801000-00010

Moll F, Rathert P. The surgeon and his intention: Gustav Simon (1824-1876), his first planned nephrectomy and contribution to urology. World J of Urol. 1999; 17(3):162–7.https://doi.org/10.1007/s003450050125

Martin DC. A Le Dentu (1841-1926). Investigative Urol.1974; 12(1):82–3.

Lingeman JE, Lifshitz DA, Evan AP. Surgical management of urinary lithiasis. Walsh PC, Retik AB, Vaughan ED, Wein AJ, editors. 8th ed. Campbell's Urology; 2002. p. 3361–451.

Schultheiss D, Engel RM, Crosby RW, Lee GP, Truss MC, Jonas U. Max Brodell (1870-1941) and medical illustrations in urology. The Journal of Urology. 2000; 164(4):1137– 42. https://doi.org/10.1016/S0022-5347(05)67128-5 PMid:10992353

Fitzpatrick JM, Sleight MW, Braack A, et al. Intrarenal access: Effects on renal function and morphology. Br J of urol. 1980; 52(6):409–14.https://doi.org/10.1111/j.1464410X.1980.tb03078.x

Young HH, Mckay RW. Congenital valvular obstruction of the prostatic urethra. Surgery, Gyenacology and Obstetrics.1929; 48:509–12.

Grocela JA, Dretler SP. Intracorporeal lithotripsy: Instrumentation and development. Urologic clinics of North America. 1997; 24(1):13–9. https://doi.org/10.1016/S00940143(05)70351-7

Mulvaney WP. Attempted disintegration of calculi by ultrasonic vibrations. The Journal of Urology. 1953; 70(5):704–5.https://doi.org/10.1016/S0022-5347(17)67971-0

Fernstrom I, Johannson B. Percutaneous nephrolithotomy: A new extraction technique. Scandinavian Journal of Urology and Nephrology. 1976; 10:257–61. https://doi.org/10.10 80/21681805.1976.11882084 PMid:1006190

Chaussy C, Fuchs G. Extracorporeal shock wave lithotripsy: The evolution of a revolution. Urology A. 1989; 28(3):126–9.

Turney BW, Reynard JM, Noble JG, Keoghane SR. Trends in urological stone disease. BJU Int. 2012; 109(7):1082–7.https://doi.org/10.1111/j.1464-410X.2011.10495.x PMid:21883851

Bandi G, Best SL, Nakada SY. Current practice patterns in the management of upper urinary tract calculi in north central United States. J Endourol. 2008; 22(4):631–6. https:// doi.org/10.1089/end.2007.0186 PMid:18366318

Preminger GM, Tiselius HG, Assimos DG, et al. Guidelines for the management of ureteral calculi. J Urol. 2007; 178(6):2418–34. https://doi.org/10.1016/j.juro.2007.09.107 PMid:17993340

Irby PB, et al. Percutaneous access techniques in renal surgery.Tech Urol. 1999; 5:29. PMid:10374792

Cracco CM, et al. New developments in percutaneous techniques for simple and complex branched renal stones. Curr Opin Urol. 2011; 21(2):154–60. https://doi.org/10.1097/ MOU.0b013e3283436d32 PMid:21252683

Drach GW, et al. A report of the United states co-operative study of extracorporeal shockwave lithotripsy. J Urol. 1986; 135:1127. https://doi.org/10.1016/S0022-5347(17)46015-0

Bagley DH: Removal of upper urinary tract calculi with flexible ureteroscopy. Urology. 1990; 35:412. https://doi.org/10.1016/0090-4295(90)80083-Y

Herrera-Gonzalez G, et al. Effectiveness of single flexible ureteroscopy for multiple renal calculi. J Endourol.2011; 25(3):431–5. https://doi.org/10.1089/end.2010.0233 PMid:21401396

Baker PW, Coyle P, Bais R, et al. Influence of season age and sex on renal stone formation in South Australia. Med J Aust.1993; 159:390–2. PMid:8377690

Lavan JN, Neale FC, Posen S. Urinary calculi: Clinical biochemical and radiological studies in 619 patients. Med J Aust. 1971; 2:1049–61. PMid:5127485

Hughes P. Kidney stones epidemiology. Nephrology J. 2007; 12:s26–s30. https://doi.org/10.1111/j.14401797.2006.00724.x PMid:17316273

Chand RB, Shah AK, Pant DK, Paudel S. Common site of urinary calculi in kidney ureter and bladder region. Nepal Med Coll J. 2013; 15(1):5–7. PMid:24592784

Peterson R, FernandezA, Razvu H, Sutton R. Evaluation and medical management of kidney stone patient. Can UrolAssoc J. 2010; 4(6):375–9. https://doi.org/10.5489/cuaj.10166

Joshua DW, Ghiculete D, Honey RJ, Pace KT. A comparison of treatment modalities of renal calculi between 100 and 300 mm2: Are shockwave lithotripsy, Ureteroscopy, and percutaneous nephrolithotomy equivalent. J Endourol. 2011; 25(3):481–5. https://doi.org/10.1089/end.2010.0208 PMid:21351888

Khaled M, AL-Kohlany, Ahmed A, Mosbah A, Mohsen T, Shoma AM, Eraky I, EL-Kappany. Treatment of complete staghorn stone: A prospective randomised comparison of open surgery versus percutaneous nephrolithotomy.J Urol. 2005; 173(2):469–73. https://doi.org/10.1097/01.ju.0000150519.49495.88 PMid:15643212

Charig CR, Webb DR, Payne SR, Wickham JE. Comparison of treatment of renal calculi by open surgery, percutaneous nephrolithotomy and extracorporeal shockwave lithotripsy.Br Med J. 1986; 292:879–82. https://doi.org/10.1136/ bmj.292.6524.879

Michael LP, Wainstein MA, Spimak P, Hample N, Resnick MI. Current indications of open stone surgery in the treatment of renal and ureteral calculi. J Urol. 1998; 159(2):374– 9. https://doi.org/10.1016/S0022-5347(01)63922-3

Yilmaz S, Sindel T, Arslan G, Ozkaynak C, Karaali K, Kabaalioglu A, Luleci E. Renal colic: comparison of spiral CT, US and IVU in the detection of ureteral calculi. Eur Radiol.1998; 8:212–7. https://doi.org/10.1007/s003300050364 PMid:9477267

Smith RC, Rosenfield AT, Choe KA, Essenmacher KR, Verga M. Lange RC. Acute flank pain: comparison of non-contrast enhanced CT and intravenous urography. 1995; 194:789–94.

Sommer FG, Jeffrey RB, Rubin GD, Napel S, Rimmer SA, Benford J. Detection of ureteral calculi in patients with suspected renal colic: Value of reformatted non contrast helical CT. AJR. 1995; 165:509–13. https://doi.org/10.2214/ ajr.165.3.7645461 PMid:7645461