Title: An Overview of Recurrent Renal Calculi and Its Management

Authors: B. Sruthi, P. Kishore, A. Ramprasad Reddy, D. Sudheer Kumar, P.Durga

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i9.151

Abstract

Introduction: Renal calculi are one of the most painful, commonest urological diseases. Life-time risk due to renal calculi is approximately 12% in men and 6% in women. Recurrence rate is reported as 50 % at 5 years, 80-90 % at 10 years. This study aimed at overview of recurrent renal calculi and its management.

Methods and Materials: It is a prospective, retrospective observational study conducted in a private hospital located in Warangal city of Telangana. A total of 2056 recurrent renal calculi patients were identified during the study period of 8 months

Results: During this period, a total of 2056 cases between age group of 0-90 years were collected. Among 2056 recurrent renal calculi patients, 1386 patients were counselled and 670 patients were not-counselled. Among 670 patients who received pharmacological treatment, reduction of symptoms was found in 642 patients and reduction in stone size was found in 296 patients. Among 1386 patients who received pharmacological treatment along with non-pharmacological treatment, reduction of symptoms was found in 1214 patients and reduction in stone size was found in 1137 patients.

Conclusion: Patients who received conservative treatment along with non-pharmacological treatment had developed greater reduction in symptoms, stone size, and recurrence compared to patients who received conservative treatment only. Proper fluid intake; dietary management and life style changes will be helpful in reducing stone size and recurrence of stones.

Keywords: Recurrent renal calculi, Lifestyle modifications, Conservative treatment, Non-pharmacological treatment.

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