Treatment of stones in claculous anuria requires a multitude of complementary therapeutic options

ABSTRACT

This study included 132 cases with an age range from 1.5-72 years and consultation delay of 16 hours to 15 days. KUB film suggested the diagnosis of renal and/or ureteric stones in 108 cases and abdominal sonography revealed stones in 90 cases. In 9 cases, the diagnosis of ureteric stones was in the course of ureteroscopy [URS] or retrograde ureteropyelography. According to the basic laboratory and imaging assessment, options of treatment were selected. The initial clinical and follow up data dictated subsequent measures. The results indicated that dialysis once to thrice was primarily utilized in nine cases and in extra eight cases post-intervention. Monotherapy was the choice treatment in the form of URS for eight cases with ureteric stones and open surgery [OS] for four children with large pelvic calculi. Percutaneous nephrostomy [PCN], external ureteric catheterization [UC] and JJ ureteric stenting were the primary treatments offered for 53, 39 and 18 cases, respectively. The 119 cases that received initial temporary measures were subjected to URS, OS, ESWL, percutaneous nephrolithotomy [PNL] and chronic hemodialysis in 63, 21, 18, 9 and 8 cases, respectively, as a second treatment line. Interchangeability of the predetermined options entailed 16 cases due to unpredicted operative findings: