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Decoding Urinary Stones: Compositional Insights and Recurrence Patterns from a Tertiary Care Hospital in Eastern
Prem Kumar1, Shamim Ahmad1, Pranjal Prem1
1Urology, Ranchi Urology Centre, Ranchi, IND.
Urinary stones are common, especially in middle-aged males in Eastern India, with calcium oxalate being the most frequent type. Dietary changes and hydration significantly reduce stone recurrence.
Area of Science:
- Urology
- Nephrology
- Public Health
Background:
- Urinary stones (urolithiasis) represent a significant global health challenge with increasing prevalence, particularly in low-middle-income countries.
- Understanding the diverse types and risk factors for urinary stones is critical for effective prevention and management strategies.
- Eastern India faces a notable burden of urinary stone disease, necessitating localized epidemiological data.
Purpose of the Study:
- To investigate the demographic characteristics, clinical presentations, and stone composition in patients with urolithiasis in Eastern India.
- To identify key factors associated with urinary stone recurrence within this population.
- To provide data-driven insights for improved prevention and management of urinary stones in the region.
Main Methods:
- Retrospective analysis of electronic medical records from 1,231 urolithiasis patients undergoing surgery between January 2015 and November 2022.
- Collection and statistical analysis of patient data including demographics, clinical history, diet, water intake, and stone recurrence.
- Evaluation of associations between patient characteristics, stone composition, and recurrence rates.
Main Results:
- The 31-40 age group (27.9%) and males (71.2%) were most affected by urinary stones.
- The most common symptom was flank/abdominal pain (48.1%), with kidney stones (74.9%) and calcium oxalate composition (62.8%) being predominant.
- Highest recurrence rates were observed in the 21-30 (36.8%) and 31-40 (28.0%) age groups.
Conclusions:
- Urinary stone incidence is highest in early middle-aged individuals in Eastern India, with calcium oxalate stones being most prevalent.
- A low animal protein diet, adequate hydration, and lifestyle modifications are crucial for reducing urinary stone recurrence.
- This study highlights the importance of understanding regional demographics and stone composition for targeted prevention and management of urolithiasis.
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