Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Obstetrics Surgery
  •  Cardiovascular Surgery
  •  Oral and Maxillofacial Surgery
  •  Gastroenterological Surgery
  •  General Surgery
  •  Minimally Invasive Surgery
  •  Ophthalmic Surgery
  •  Pediatric Surgery

Abstract

Citation: Clin Surg. 2020;5(1):2792.Research Article | Open Access

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.

Keywords

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..

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