CALCULUS ANURIA AND ITS REMEDY

Aman ullah, Ghayyur Khan, Shanti Lal, Muhammad Iqbal Soomro, Malik Hussain Jalbani

Abstract


Background: Urinary lithiases have been a major urological problem. The objective was to determine
the out come of treatment for patients with calculus anuria. Methods: A descriptive study was
conducted at Department of Urology Chandka Medical College Hospital, Larkana from March 2007 to
April 2009. All patients with a diagnosis of calculus anuria of all ages and either sex were included in
the study. Detailed history, physical examination and examination of genitourinary tract was
performed. Investigations included complete blood examination, blood urea, serum creatinine,
ultrasonography of KUB area, and X-Ray KUB. Results: Among the 66 patients the cause of anuria
was bilateral obstruction by the calculi in 46 cases, unilateral obstruction with small/absent/
nephrectomised contralateral kidney in 20 cases. In most of the cases, ureteric catheterisation was done
to relieve the obstruction. Five deaths were observed, despite emergency urinary diversion and
appropriate treatment. Conclusion: Calculus anuria is a urological emergency. Prompt and early
intervention can save the life of patient and prevent to develop chronic renal failure.
Keywords: Anuria, calculus, and management

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