Aga Sanaullah, Khatri Sabeeta, Bajeer Irshad Ali, Sultan Sajid, Lanewala Ali Asghar
Department of Pediatric Nephrology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Department of Pediatric Urology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Urolithiasis. 2023 Mar 16;51(1):51. doi: 10.1007/s00240-023-01429-3.
Calculus anuria is a catastrophic condition with dire consequences if not treated promptly. The purpose of this study was to identify factors which influence the short-term outcome of patients with calculus anuria. A retrospective analysis was conducted from January 2016 to December 2021, in children up to the age of 18 years, who presented with calculus anuria and required emergency decompression at Sindh Institute of Urology and Transplantation, Pakistan. One hundred and twenty-five children were included. Majority were born to consanguineous parents and a few of them had positive family history of stone disease. Severe illness was found in 25 (20%) patients and among them 8 (32%) required hemodialysis. Decompression by double J stenting is the preferred intervention in our institute and was done in 106 (85%) children, followed by percutaneous nephrostomy tube in 10 (8%) successfully. A small number of patients, 9 (7%) required both procedures to relieve their obstruction. A significant number of patients, about 115 (92%), attained normal renal functions after intervention. No pertinent factors were identified, relating to incomplete renal recovery in nine (7%) of the patients who unfortunately progressed to chronic kidney disease.
结石性无尿是一种灾难性疾病，若不及时治疗会产生严重后果。本研究的目的是确定影响结石性无尿患者短期预后的因素。对2016年1月至2021年12月期间在巴基斯坦信德省泌尿外科和移植研究所就诊的18岁以下患有结石性无尿且需要紧急减压的儿童进行了回顾性分析。共纳入125名儿童。大多数儿童的父母为近亲结婚，其中少数有结石病家族史阳性。25名（20%）患者存在严重疾病，其中8名（32%）需要血液透析。在我们研究所，双J管置入减压是首选的干预措施，106名（85%）儿童接受了该治疗，其次是经皮肾造瘘管置入，10名（8%）成功置入。少数患者，9名（7%）需要两种手术来缓解梗阻。大量患者，约115名（92%）在干预后肾功能恢复正常。在不幸进展为慢性肾脏病的9名（7%）患者中，未发现与肾功能未完全恢复相关的相关因素。
