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Single – Center Assessment of Short-Term Morbidity Associated with Ureteric Stone
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| Author:
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ASRAA TAHA HAMED, ALI HADI SABHAN
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| Abstract:
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Background: Ureteric calculus or stones are those inside the ureter,From of the ureteropelvic conjunction to just the vesico ureteric conjunction at each point . Peristaltic pain (renal colic), nausea , vomiting and hematuria may occur in patients with ureteric calculi. In patients with renal colic and flank pain in the emergency department, a workup must be done to detect any ureteral stones creating obstruction . Hydronephrosis, renal injury, or urinary tract infection are complications of ureteric caliculi . Obstructive pyelonephritis is a serious complication triggered through upper stones of the urinary tract which, if it advances to septicaemia, will become a urological emergency with the a highly dangerous effect. The occurrence of complications after ureteric stone application is variable and is correlated with operating time, calculus location, ureteroscope form, and surgeon knowledge.
Objectives: To assess the short term morbidity associated with ureteric stones in randomly selected group of patients attending the urology center in Al-Diwanyiah Teaching Hospital.
Patients and Method: This is a cross sectional study performed in single_center in Al_Diwaniyah Teaching Hospital, from April to September 2020.The study included 150 patients assessed by reviewing their chronic medical illness, characteristic of stones, clinical features and complications associated with ureteric stone.
Results: In the current study, Most of cases were between 20-40 years of age. The study included 99 (66.0 %) males and 51 (34.0 %) females. Diabetes mellitus was seen in 9 (6 %), systemic hypertension was seen in 16 (10.7 %) and ischemic heart disease was seen in 5 (3.3 %) of cases. The most common symptom was pain (100%) followed by nausea and vomiting (76%) then by hematuria (75%), dysuria (74%) and frequency (61%). pyelonephritis is the most encountered complication in our studied patients (27.3 %) followed by morbidity associated with surgical intervention in 14% while 12.7% of our patients were unable to continue with their usual work .Drugs side effects were noticed in 19 patients (12.7 %) after medical therapy. Uremia occur in 11 patients (7.3%). one patient unfortunately developed urosepsis but his condition is controlled finally.
Conclusion: Ureteric stones are a common urological emergency owing to its considerable symptoms and serious complication that include pyelonephritis, uremia and sepsis. Treatment strategies can result in further morbidity to patients.
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| Keyword:
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Ureteric stones, pyelonephritis, surgical intervention, Pyonephrosis, Urosepsis, Uremia, Drug side effect.
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.04.391
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| Download:
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