TO EVALUATE THE MODE OF PRESENTATION OF NEPHROLITHIASIS AND ITS OUTCOME FOLLOWING OPEN SURGICAL TREATMENT

Bishnu Pada Bhowmik*, AKM Daud, Nurul Quayum MD Musallin, Ahmed Al Amin and Ziaur Rahman

ABSTRACT

Background: Nephrolithiasis remains a major economic and health burden worldwide. It is considered as a systemic disorder associated with chronic kidney disease, bone loss and fractures, increased risk of coronary artery disease, hypertension, type 2 diabetes mellitus and the metabolic syndrome. Objective: To evaluate the mode of presentation of Nephrolithiasis and its outcome following open surgical treatment. Methods: This was a cross-sectional observational study. This study was conducted in the Department of Surgery and Department of Urology, Sylhet MAG Osmani Medical College Hospital, Sylhet during the period from 9th September 2014 to 8th March 2015. All patients admitted in the Department of Surgery and Department of Urology, Sylhet MAG Osmani Medical College Hospital, Sylhet for open surgical management of nephrolithiasis were the target populations and those fulfilling the inclusion and exclusion criteria were included in this study. Results: Among the total 30 patients 10 (33.3%) patients were between 41 to 50 years, 9 (30.0%) patients were between 21 to 30 years, 8 (26.7%) patients were between 31-40 years and 3 (10.0%) patients were between 51-60 years. distribution of the patients by postoperative complications. Among the patients 30 patients underwent open surgical treatment; haematuria developed in 3 (10.0%) cases, urinary leakage in 1 (3.3%) case and wound infection developed in 4 (13.3%) patients. Conclusion: Open surgery is a safe and effective procedure for the treatment of large, complex and multiple renal stones with a low risk of post operative complication.

Keywords: Nephrolithiasis, Type 2 diabetes, Urinary stone disease, Renal stones.