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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.

Indian Journal of Pediatrics
|May 8, 2000
PubMed
Summary
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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.

Related Experiment Videos

  • 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.