Related Experiment Videos
Urolithiasis: a tribal scenario
B C Bakane1, S B Nagtilak, B Patil
1Department of Surgery, JMF's, A.C.P.M. Medical College, Dhule, Maharashtra.
Insights
Urinary tract stones (urolithiasis) are common in children in India's Satpura region. Bladder stones, often calcium oxalate, were most frequent, potentially linked to diet and socioeconomic factors.
Area of Science:
- Pediatric Nephrology
- Urology
- Public Health
Background:
- Urolithiasis presents a significant health challenge in Central India, particularly in the Satpura region.
- Understanding the demographics and characteristics of pediatric urolithiasis is crucial for targeted interventions.
Purpose of the Study:
- To investigate the prevalence, clinical presentation, and stone composition in children diagnosed with urolithiasis.
- To identify potential etiological factors associated with urinary tract stones in this specific population.
Main Methods:
- A retrospective study of 45 pediatric patients with urolithiasis was conducted over three years.
- Data collected included patient demographics, presenting symptoms, physical examination, laboratory results, and radiographic findings.
- Stone composition analysis was performed.
Main Results:
- The mean age of affected children was 7.1 years.
- Dysuria and lower abdominal pain were the most common presenting complaints.
- Bladder stones accounted for 80% of cases, followed by urethral (9%), kidney (6.6%), and ureteral (4.4%) stones.
- Calcium oxalate (65.7%) and calcium phosphate (34.3%) were the primary stone compositions.
Conclusions:
- Bladder stones are the predominant form of urolithiasis in children from the tribal Satpura belt.
- Factors such as poor nutrition, low socioeconomic status, and a diet high in millet (bajra) may contribute to stone formation in this region.
Abstract:
Urolithiasis is quite prevalent in Satpura belt of Central India. Forty five children with urolithiasis were studied in Jawahar Medical Foundations Hospital, Dhule, Maharashtra over a period of three years. The mean age was 7.1 +/- 3.2 (range 18 months-15 years). The chief presenting complaints were dysuria and lower abdominal pain. The physical, laboratory and radiographic findings were evaluated. Calculi were located in the bladder (80%), urethra (9%), kidney (6.6%) and ureter (4.4%). Calculi were mainly composed of calcium oxalate (65.7%) and calcium phosphate (34.3%). The predominant urinary tract stones in the tribal Satpura belt are bladder stones and may be related to poor nutrition, low socioeconomic status and consumption of bajra (millet) as staple food as found in this region (93.5%).