Sequelae of obstructive Nephropathy due to urolithiasis: a retrospective study at a tertiary care hospital of Lahore.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Journal of the Pakistan Medical Association Pub Date : 2025-08-01 DOI:10.47391/JPMA.20788

Usama Muhammad Kathia, Azfar Ali, Muhammad Sheraz, Haseeb Mehmood Qadri, Ali Imran Butt, Khizar Hayat Gondal

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Abstract

The retrospective, observational study was planned to present the clinical manifestations of obstructive nephropathy secondary to urolithiasis, and its effect on long-term renal function. The sample comprised patients diagnosed with obstructive nephropathy secondary to stones admitted to the Department of Urology and Renal Transplant, Lahore General Hospital, Lahore, Pakistan, between January 1, 2018, and December 31, 2021. Data was analysed using SPSS 20. Of the 76 patients with a mean age of 50.06±13.42 years, 56(73.7%) were males and 20(26.3%) were females. The most frequent clinical cause was bilateral ureteric obstruction in 39 (51.3%) patients. The most common emergency procedure performed was unilateral percutaneous nephrostomy. It took an average of 10.8±2.3 days for patients to have a nadir value of creatinine. On follow-up, diabetes, presence of lower urinary tract symptoms and a higher value of creatinine at admission were significantly related to poorer outcomes (p<0.05).

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尿石症引起的梗阻性肾病的后遗症：拉合尔一家三级医院的回顾性研究。

本回顾性观察性研究旨在探讨尿石症继发梗阻性肾病的临床表现及其对长期肾功能的影响。该样本包括2018年1月1日至2021年12月31日期间在巴基斯坦拉合尔拉合尔总医院泌尿外科和肾脏移植科就诊的诊断为继发于结石的阻塞性肾病的患者。数据采用SPSS 20进行分析。76例患者平均年龄50.06±13.42岁，其中男性56例（73.7%），女性20例（26.3%）。39例（51.3%）患者以双侧输尿管梗阻最为常见。最常见的急诊手术是单侧经皮肾造口术。患者平均需要10.8±2.3天才能达到肌酐的最低点。在随访中，糖尿病、下尿路症状的存在和入院时较高的肌酐值与较差的预后显著相关(p

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来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.