CALCULUS ANURIA AND ITS REMEDY
AbstractBackground: Urinary lithiases have been a major urological problem. The objective was to determinethe out come of treatment for patients with calculus anuria. Methods: A descriptive study wasconducted at Department of Urology Chandka Medical College Hospital, Larkana from March 2007 toApril 2009. All patients with a diagnosis of calculus anuria of all ages and either sex were included inthe study. Detailed history, physical examination and examination of genitourinary tract wasperformed. 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 anuriawas 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 doneto relieve the obstruction. Five deaths were observed, despite emergency urinary diversion andappropriate treatment. Conclusion: Calculus anuria is a urological emergency. Prompt and earlyintervention can save the life of patient and prevent to develop chronic renal failure.Keywords: Anuria, calculus, and management
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