A Clinical Observation of Urinary Stones

Kim, Young Don; Kim, Tae Gon

Abstract

A clinical observation was made on 202 cases of urinary stones during the period from June, 1979 to Mar., 1982 on the Department of Urology of Paik Hospital, Inje Medical College in Busan. 1. The incidence of urinary stone was 30.6% of in-patients. 2. Age distribution was 4 and 77 years old showing most incidence in 20 to 49 years in about 76.2%. 3. Sexual distribution was 135 cases of male (66.8%l and 67 cases of females (33.2%). 4, The location of urinary stone was 78.21% in the ureter, 16.34% in kidney. 2.97% in bladder & 2.48% in urethra. 5. The most favored predilection of ureteral stone was lower ureter in 65.8% of all cases. 6. Highest incidence in size of urinary stone was below of 0.5 cm & 2.0 cm in diameter and the majority of stone number was single (90.1%). 7. Among renal stones. staghorn types were 11 cases. 8. Leukocytosis shown in 68 cases (33.6%). 9. Microscopic pyuria was shown in 82 cases/40.6%) and hematuria was present in 122 cases (60.4%) and positive culture was present in 35 cases (17.3%) of all cases of urinary stones and more than 100,000 colony/ml was only 6 cases. 10.Serum B.U.N. level was above 20.1 mg/100ml in 21 cases (10.4%) and creatinine. above 2.1 mg/100ml in 6 cases (2.97%l and Ca. & P. level were relatively almost normal range. 11 .Hydronephrotic changes shown in 134 cases (66.3%) and non-visualized kidney was 36 cases (17.8%) on the I.V.P. 12.Chief complain of upper urinary calculi were flank pain 92.6%. suprapubic discomfort in 30.7%, nausea & vomiting 26.7%, hematuria in 25.7% and frequency with tenesmus in 18.3% and lower urinary calculi were most common symptoms of vesical irritation signs. 13.Surgical correction in 101 cases (50%), expectant therapy in 65 cases (32.2%) and cystoscopic stone manipulation in 36 cases (17.3%) were performed.