UROLITHIASIS

PRESENTATION AND ULTRASONOGRAPHIC EVALUATION

Abstract

Objectives: (1)To assess the common presenting features of urolithiasis. (2) To assess the role of Ultrasonography in its evaluation. Design: Cross sectional study. Setting: Khyber X rays, Khyber Medical Centre, Peshawar. Period: March 2010 to June 2010. Material and Methods: Data from patients presenting with urolithiasis for an ultrasound examination was analyzed for presenting complaints and ultrasound findings according to objectives of the study. Results: A total of 210 cases of urolithiasis were analyzed. The age wise categorization included pediatric population (9.5%), adult population (82.4%) and geriatric population (8.1%). Pain was the most common presenting complaint in all three age groups. Kidney was the most common site for renal calculi followed by ureter, bladder and urethra in descending order. Accompanying dysuria was present in 20% cases. Mild hydronephrosis was noted in 44.8%. Statistically significant difference was present between ultrasound findings in geriatric population and overall results. Conclusions: Urolithiasis continues to be a major cause of morbidity among population of all age groups. Overall trend of Ultrasonographic findings was applicable to pediatric and adult population. There has been significant difference of ultrasound findings among geriatric population from normal trend.