ABSTRACT
An epidemiological study of urinary stone disease has been carried out in the districts of La Sierra and Hellín (Albacete, Spain). Between January 1992 and December 1999 a total of 887 patients with urinary lithiasis have been studied, analysing the number of patients discharged from hospital with the primary diagnosis of lithiasis, the distribution of lithiasis by area, age, gender, family history of lithiasis, diet, occupation and concurrent pathology. The geographical, geological, and climatic conditions, the composition of the water supply and the clinical characteristics are described. The incidence of urinary lithiasis in the whole area in 2.66 per thousand inhabitants/year, showing a male predominance with a male:female ratio of 1.26:1. The mean age was 51.34 years (bimodal distribution with peaks in the 4th and 7th decades). 20.41% of the patients had a family history, with the father being the most frequently affected relation. Those occupations associated with a sedentary life style or with a hot, dry workplace show a higher incidence of lithiasis. A hot, dry climate favours the formation of urinary lithiasis and the highest incidence of lithiasis is in the summer, during the months of July and August. No statistically significant influence was shown between at the hardness of the water and the incidence of urinary lithiasis in the study population.
Subject(s)
Urinary Calculi/epidemiology , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Incidence , Male , Middle Aged , Spain/epidemiologyABSTRACT
Se realiza un estudio epidemiológico de la enfermedad litiásica en las comarcas de la Sierra y de Hellín (Albacete). Entre Enero de 1992 y Diciembre de 1999, se han recogido 887 pacientes con litiasis urinaria, analizando la incidencia hospitalaria, distribución de litiásicos por localidad, edad, sexo, antecedentes familiares de litiasis, dieta, profesión y patología concomitante, se describen las características geográficas, geológicas, climáticas, composición de aguas, así como las características clínicas.La incidencia de urolitiasis en esta área es de 2,66 por mil habitantes/año, de predominio en varones con una relación de hombre/mujer de 1,26, la edad media es de 51,34 años (comportamiento bimodal con picos en la cuarta y séptima décadas).El 20,41 por ciento de los pacientes tienen antecedentes familiares, siendo el padre el parentesco más afectado. Las profesiones que comportan una vida sedentaria o se relacionan en ambientes calurosos tienen una mayor incidencia de urolitiasis. Los hábitats con clima caluroso y seco favorecen la enfermedad litiásica, produciéndose la mayor incidencia de litiasis en verano durante los meses de Julio y Agosto. No apreciamos una influencia estadísticamente significativa entre la dureza de las aguas y la incidencia de litiasis urinaria en la población estudiada (AU)
Subject(s)
Middle Aged , Adult , Adolescent , Aged , Aged, 80 and over , Male , Female , Humans , Spain , Urinary Calculi , IncidenceABSTRACT
OBJECTIVES: The present work will give a general view of the epididymis adenomatoid tumour, an unusual pathology reviewing its differential diagnosis and therapeutical choices. METHODS/RESULTS: We present the case of a 32-year-old patient with an adenomatoid tumour located in the tail of the left epididymis. The diagnosis was achieved by echography, and was confirmed by surgical excision and histological analysis. CONCLUSIONS: Due to its low incidence in intrascrotal pathology, we believe it is important to know about this illness in order to make a differential diagnosis from other inflammatory processes and to adopt a surgical approach more frequently, due to its high diagnostic-therapeutical rentability and low morbidity.
