The Outcome of Surgery for Kidney Stone at Urology Department Mahosot Hospital / Lao Medical Journal

ABSTRACT

Background@#The treatment of kidney stones by surgery is very important for relieve pain, reduce the risk of infection and protect kidney function. @*Method@#This was descriptive prospective cross-sectional study research to identify the outcome of surgery for kidney stone in the Urology Department of Mahosot Hospital. The research was performed between June-December 2017. The subjects consisted of 120 patients. Data were collected using questionnaires by interview, reviewing hospital charts and following the patients post operation. Data were analyzed by using SPSS.@*Results@#The results showed that the majority of patients were aged 43-52 years (30.0%), were mostly male (60.8%), Lao lum (76.7%), with high school education (28.0%), farmers (50.8%), and family history of having kidney stones (55%), previously treated with herbal medicines (72.5%), and presented with pain (90.8%) and hematuria (57.5%). Ultrasound scans demonstrated pyelo-caliciel calculi (50.8%), blood group “B” (43.3%) and hydronephrosis level II (45%). Operation was by bivalve nephrotomy in 37.5%. The operation duration was one hour (51.7%) and management outcome post surgery was successful in 85%, with complications of anemia (0.8%), need for hemodialysis (1.7%), pyelonephritis (8.3%), wound infection (1.7%), and hemorrhages (1.7%). @*Conclusion@#The outcome of surgery for kidney stone success is high, but complications persist. Discussion of interventions to reduce complication rates are needed.