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Abstract

MANAGEMENT PATTERN OF NEPHROLITHIASIS IN MILITARY HOSPITAL OF NEPAL

Manisha Devkota*, Rajendra Ayer Sabyata Gautam and Bibek Dhamala

ABSTRACT

The primary objective of this study was to analyze the types of kidney stone, its treatment pattern, frequency of recurrence and its prevention methods in Nepal. Nephrolithiasis is a common clinical disorder affecting large amount of population worldwide. About 10% of people will experience nephrolithiasis in their lifetime and about 50-70% of those will have recurrences. In Nepal, Kidney stone is also a major health problem. A prospective observational and descriptive study was conducted in Military hospital of Nepal: Shree Birendra Hospital, Chhauni, Nepal involving patients with nephrolithiasis over a period of three months (June-September 2015). A total of 146 patients were selected for study. Male (99) patients were significant in number than female (47). Incidence of stone disease is predominant in the age group of 30-39. Calcium stone was the most common renal calculi which covered 71.2% of all types of stone. Alpha blocker and thiazide diuretics were mostly prescribed drugs. Hyperparathyroidism, diabetes, hypertension, gout and urinary tract infection were the major risk factors for nephrolithiasis. In this study, diabetes was present in most of the patients. PCNL treatment was mostly preferred because most of the stones were present in lower pole and also due to presence of staghorn stone. The result of my study has demonstrated that frequency of recurrence rate was higher.

Keywords: Nephrolithiasis, Calcium stone, ESWL, Tamsulosin.


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