Volume : V, Issue : IV, April - 2016

Different modalities in the management of nephrolithiasis

Dr Ashish Desai, Dr Hiren Parmar

Abstract :

 Background: Urinary stone is an end product of the complex pathological and biological phenomenon in urinary lithiasis. There are so many newer techniques introduced in the recent past. Each modality proved to be effective in the management of the nephrolithiasis according to its size and site. Because of the development of less invasive procedures such as (PCNL and URS) ; Non–invasive procedure (ESWL), many surgeons have changed their attitude from more invasive modalities to comparative less invasive and efficient modalities. Aims and objectives: 1)To strengthen the conclusion that non–invasive or minimal invasive procedures are better than more invasive procedures; or to come out with some newer data. 2) An attempt is made to understand the relationship among factors like age, sex, religion, occupation, dietary habits; site and composition of stone formation. 3) To consider the success of treatment modality along with their complications and long follow up for recurrence. Material and methods: The study consists of 35 patients of Nephrolithiasis, among them 20 patients selected from our hospital and 15 patients from another institution during the period of 1 year. Under following proforma, were the patients examined, investigated; being treated and followed up with one year of interval. Up to 9 mm size calculi were treated conservatively. Otherwise there was no case selection for invasive Vs. Minimal invasive modalities and it was on the surgeon’s choice. Results: Highest incidence was recorded in 5th decade though stone disease was found in the range of 2nd to 6th decade. pain was the leading symptom in nephrolithiasis followed by burning micturition, frequency and hematuria. Stones between 1–3 cm size were managed with invasive and non – invasive modalities almost equally. Stone >3 cm size were found in 10 % cases among them 75 % managed with noninvasive and 25 % with invasive modalities. Conclusion: PCNL and ESWL are minimal to non–invasive newer developments in the treatment of nephrolithiasis. Almost all stones can be treated with combination of these modalities.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Ashish Desai, Dr Hiren Parmar Different modalities in the management of nephrolithiasis International Journal of Scientific Research, Vol : 5, Issue : 4 APRIL 2016

Number of Downloads : 715

References :