Volume : VIII, Issue : VIII, August - 2019

A CLINICAL STUDY OF CALCULUS ANURIA AND MANAGEMENT OPTIONS

B Prakasa Rao, Shiva Kumar P

Abstract :

AIMS AND OBJECTVES To study the patients with calculus anuria with regard to various variables like age, sex, mode of presentation (symptoms, time prior to consultation, urine volume, RFT, electrolytes, comorbid conditions, infections), site and stone burden, various treatment options, intraoperative complications and post-operative complications and time to normalization of urine volume, RFTs, electrolytes. MATERIAL AND METHODS This study was carried out in GGH, GUNTUR from JAN 2017 to JAN 2019 to study the patients with calculus anuria with regard to various demographic variables, stone charecteristics, treatment options and complications. Results: The mean age of patients was38.8 years, F: M was1:3. The symptoms of patients who reported with calculus calculus anuria were ureteric colic in 60%, loin pain 40%, serum creatine was in the range of 6 – 25mg. Electrolyte disturbance noted in our study was hyperkalemia. Usg had high accuracy in diagnosing renal calculi and CT KUB showed 100% sensitivity. The size of stone ranged from 0.8 to 4cm. Dialysis was performed in 21 patients, DJ stenting in 20 and PCN in 5 patients.URSL was performed in 33 renal units, PCNL in 5 units, push back PCNL in 5 units and open pyelolithotomy in 5 renal units. Minimal complications seen in our study were mild hematuria and surgical site infection. Time to normalization of creatinine and electrolytes in most of the cases were in the range of 4 to 10 days. Conclusion: Calculus anuria is a urological emergency, and outcomes are excellent when diagnosis is made early and prompt treatment given. Majority of the patients with calculous anuria can be managed with endourological procedures. PCNL represents a safe and effective treatment modality with high stone free rate and minimal post-operative complications.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

A CLINICAL STUDY OF CALCULUS ANURIA AND MANAGEMENT OPTIONS, B Prakasa Rao, Shiva Kumar P GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-8 | Issue-8 | August-2019

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