A Clinical Observation of Bilateral Urinary Stone

Yue, Tai Hyung

Abstract

A Clinical study was made on 41 cases of bilateral urinary stones who were admitted to Yonsei Medical Center, Severance Hospital during the period from January, 1962 to December, 1976. The results of this study may be summarized as follows: 1. During the period the total urinary stone patients were 997 and the ineidense of bilateral stone was 4.1 %. 2. 80 percents of the patients with bilateral stones were seen in 21-50 age groups. 3. Urinary infection was complicated in 63 % and staphylococcus coagulase positive was most common. 4. Urine acidity was over than pH 75 1n 6 patients and less than pH 5.5 in 2 patients. 5. In blood chemistry hypercalcemia was revaled in 7 patients. BUN was more than 20 mg % in 10 patients and creatinine was more than 2mg % in 7 patients. 6. The most common chief complaints were flank Pain which was in 31 patients. The next was gross hematuria which was in 21 patients. Total anuria was noted in 2 patients. 7. the location of bilateral urinary stone was most common in one kidney and one ureter which was in 15 cases. 8. The excretory urography revealed mild hydronephrosis in 21 cases, marked hydronephrosis in 9 cases, nonvisualization in 4 cases, delayed visualization in 19 cases and nephrogram only in 11 cases. 9. In the past history, immobilization and trauma was seen in 1 case respectively and the remaining cases there could not be noted the specific causative factors in the stone formation. 10. Operation was done in 33cases, endoscopic management in 7 cases, and kidney bisection in two cases.