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


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

Full Text:



Khan FA. History of calculus disease of urinary tract. J Pak

Med Assoc 1973;23:19–24.

Malek RS. Renal Lithiasis: A Practical Approach. J Urol


Khan FA. Basic data on urinary stones in Pakistan. Bulletin


Javed SH, Khan JH, Iqbal Z, Iqbal S, Khan FA. Aetiology of

upper tract urolithiasis in Rahim Yar Khan. Pak Postgrad

Med J 1993 4(2);81–98.

Runell RCG, Williams NS, Bulstored CJK (eds). Baily and

Love’s Short Practice of Surgery 21st ed. London: Arnold;


Stenberg A, Bohmenso. Back leak of pelvic urine to the

blood stream. Acta Physiol Scand 1988;134:223–34.

Gillen Water. The physiology of urinary obstruction. In

Walsch PC, Ratic AB, Stamey TA et al. Campbell’s Urology

th ed Philadelphia: WB Saunders;1992.p.499–525.

Tataranni G, Farinelli R, Zavagli G. Tubule recovery after

obstructive uropathy relief: The value of enzymuria and

microproteinuria. J Urol 1987;138:24–7.

Frederick AG. The pathophysiology of urinary obstruction.

In: Campbell’s Urology 7th edition. Vol-1. Toronto: WB

Saunders; 1998.p.342–79.

Kumar A, Sharma SK, Vaidyanathan S. Results of surgical

reconstruction in patients with renal failure owing to

ureteropelvic obstruction. J Urol 1988;140:484–6.

Sun Z, Wei E, Wang Y. Diagnosis and treatment of postrenal

acute renal failure. Zhonghua Wai Ke Za Zhi 1997;35:501–3.

Jiang H, Wu Z, Ding Q. Ureteroscopy and holmium yag laser

as emergency treatment for acute renal failure caused by

impacted ureteral calculi. Urology 2008;72:504–7.

Mohammed A. Elgammal, Mohammed S. Abdel-kader, Adel

kurkar et al. Management of calculus anuria in children:

Experience of 54 cases. J Pediatr Urol 2009;5:462–5.

Westenberg A, Harper M, Zafirakis H, Shah P J. Bladder and

renal stones: management and treatment. Hosp Med



  • There are currently no refbacks.

Contact Number: +92-992-382571

email: [jamc] [@] []