Urinary calculi in northern province, sri lanka; a descriptive cross-sectional study conducted at teaching hospital jaffna among the patients underwent surgical interventions for urinary calculi

Abstract

Urinary calculi may affect the renal function and cause permanent damage to the kidney, if it is not treated. This study was carried out to find the distribution of urinary calculi in Northern Province patients who underwent surgical interventions for urinary calculi at Genitourinary surgical unit, Teaching Hospital Jaffna. It is a descriptive cross sectional study carried out from October 2016 to November 2017. The demographic data including age, gender, place of residence during the last ten years, and recurrence were obtained from the clinical notes and recorded in data extraction sheets. Of the 115 patients selected higher percentage of urinary calculi was reported in males (n=76, 66.1%) than in females (n=39, 33.9%) with the ratio of 1.9:1. The age of patients having stones ranged from 07 to 85 years with the mean age of 50.9 (±16.2) years. In this study, 60 males (79%) and 32 females (82%) were in the age range of 31-70 years. Highest number of patients was from Jaffna District (n=73, 63.5%) and lowest number was from Mannar District (n=5, 4.3%). This study showed that 28.7% (n=33) had past history of urinary calculi surgical recurrence. Recurrence also common in males (60.6%) than females (39.3%). From this study it can be concluded that, the urinary calculi were more common in males than in females from all five Districts of Northern Province; males had more recurrence of urinary calculi than females and urinary calculi were more common in productive age group. Systematic survey should be carried out to confirm this problem in Northern Province, Sri Lanka.