ABSTRACT
Background: Urolothises is one of the most common and oldest diseases of urinary tract. It is endemic Pakistan and the incidence of calculus renal failure is high. This is due to poor initial management
Methods: it is an observational study conducted at the Department of Urology, Services Hospital, Lahore from April 2001 to March 2003. In this study we evaluated the patients with calculus renal failure regard; their preoperative, operative, postoperative management and improvement in renal function after the removal of stones. Twenty patients, 13 male and 7 female were included in this study. The chief presenting symptom was anuria in 20 [100%] of patients. Ultrasonography, X-ray KUB and Ante-grade pyeiogrqahy were the main investigations regarding the site, size of stone, degree of hydronephrosis and echogenicty of the kidneys. Percuta-neous Nephrostomy alone, Acute Peritoneal Dialysis alone and Pereutaneous Nephrostomy with Acute Peritoneal Dialysis were the emergency procedures performed to save the lite ot the patients and to plan for a definite surgical procedure. After the stabilization of the renal function. definite surgical procedure in the tom of pyelo-lithotomy and ureterolithotomy were performed
Results: Results were analyzed by considering the duration of anuria, degree of obstruction [hydrawephmsis] and duration of maximum improvement. Overall thirteen [65%] patients had good result five [25%] patients had satisfactory results and two [10%] patients had poor results. Anuria due to stones in the unnary tract is a urological emergency
Conclusion: Prompt and early interventions can save the patient from developing irreversible renal damage