Obstructive Uropathy due to Urolithiasis an Oblivion Problem in an Underserved Population One Center Experience

Elmogtaba Moh Eltegani1, Mustafa Omran2 and Mohamed El Imam Mohamed3*

1Department of General Surgery, Medical Specialization Board, Sudan
2Department of Urology, University of Gezira, Gezira Hospital for Renal Disease and Surgery, Sudan
3Department of Medicine, University of Gezira, Sudan

^*Correspondance to: Mohamed El Imam Mohamed 

 PDF  Full Text DOI: 10.25107/2474-1647.2792

Abstract

Background: Obstructive uropathy in general has a serious impact on patients, that is if left untreated may alter their renal function to a degree that they may end with End Stage Renal Disease (ESRD). Objectives: In this study we aim to estimate the incidence of obstructive uropathy due to urolithiasis & ESRD secondary to it in an underserved area. Methods and Results: This prospective descriptive study was conducted in GHRDS; around 108 patients with obstructive uropathy due to stones were enrolled in the study. Gender distribution was (n=67) 62% male & (n=41) 38% female, almost more than 50% of the patients were of the age between 41 to 60 years. The second common age group was patients between 20 to 40 years which was 27.8% (n=30). Around 5.6% (n=6) of patients presented with anuria. Renal failure, either acute 3.7% (n=4) or acute or chronic kidney disease in 1.8% (n=2). The initial management was mainly supportive PCN 32.4%. DJ inserted for 28.7% of the patients. Three patients 2.8% underwent hemodialysis + PCN, 4.6% (n=5) URS and in 3.7% (n=3) Urethral Catheter was fixed. Further definite management was ESWL 26.9%. Patients treated with URS ± DJ were 27.8%. Surgery: P/L (16.7%), U/L (5.6%), Pyeloplasty (0.9%), Nephrolithotomy (4.6%) and Nephrectomy (6.5%). The outcome; retained renal normal function (75.9%), while 18.5% developed CRF, 5.6% with ESRD. Conclusion: This study showed that the incidence of obstructive uropathy due to urolithiasis in GHRDS was 15.3%. The incidence of renal impairment was 24.1%, from the all treated patients 5.6% of patient ended with ESRD.

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Cite the article

Moh Eltegani E, Omran M, El Imam Mohamed M. Obstructive Uropathy due to Urolithiasis an Oblivion Problem in an Underserved Population One Center Experience. Clin Surg. 2020; 5: 2792..