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Investigation Patients with Urinary Stones from the Aspect of Epidemiologic Parameters Admitted at Urology Department of Imam Reza Hospital During Years 2005-2008
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K. Tavakkoli Tabassi   , Sh. Mohammadi , A. Madani |
| Department of Urology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran , tavakolik@mums.ac.ir |
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Abstract: (6822 Views) |
| Background: Urolithiasis is one of the most frequent diseases of urinary system which forms high percentage of patients who come to Urology wards. Therefore, study of epidemiological characteristics of patients of each ward can be helpful for making the best general decision. Methods: First, we devided 5133 cases who had come to Urology department of imam Reza hospital of mashhad during 2005-2008, in 2 groups and then in 6 groups. We investigated and compared 2 groups of lithotripsy and surgery from the aspect of epidemiological characteristics. So, we did for 6 groups: pyelolithotomy and nephrolithotomy, ureterolithotomy, ureteroscopy and TUL, PNL, ESWL, cystolitholapaxy. Results: From 5133 cases, mean age of 43.41, men to female ratio 2.1, 90.1% had done lithotripsy and 9.2% surgery. Percentage of patients of pyelolithotomy and nephrolithotomy was 3.5% ureterolithotomy 0.8%, ureteroscopy and TUL39.5%, PNL 4.9%, ESWL 49.5%, cystolitholapaxy 1.9%. Mean stay in hospital for 1.31±0.19 and for surgery 4.84±0.16, in ESWL 0.81±0.25 and in pyelolithotomy and nephrolithotomy 5.09±0.17 days. During years 2005-2008 percentage of ESWL was : 59.9, 51.4 & 38.4% of all admissions in these years. PNLs percentage was: 3.8, 5.51, 5.53%. Choosing of PNL in urban people was highest (84.5%) and for rural people pyelolithotomy and nephrolithotomy is the most technique in use. Conclusion: Despite of other advanced countries high percentage of our patients undergo open surgery especially in rural people, yet. So, we should provide facilities of education and financials for modern and lower costs of urinary tract stone treatments. |
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| Keywords: Extracorporeal Shockwave Lithotripsy, Nephrolithotomy, Pyelolithotomy, Urinary stones |
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Full-Text [PDF 278 kb]
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Type of Study: Research |
Subject:
Special
Received: 2014/03/10 | Accepted: 2014/03/10 | Published: 2014/03/10
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