Perfil Epidemiológico e métodos diagnósticos de pacientes com nefrolitíase, atendidos no Serviço de Urologia da Fundação Hospital Adriano Jorge nos anos de 2010 a 2012, na cidade de Manaus- Amazonas

Abstract

Nephrolithiasis is considered in some studies as a public health problem. It is estimated that 5 to 15% of the world population will experience some episode of kidney stones throughout life, being among the most susceptible group of males (3: 1), Caucasian and young age group, especially among It is important to note that lithiasis has high recurrence rates. Helical computed tomography (CT) has played an important role in the diagnosis and treatment of renal lithiasis, being considered in recent years by some authors as a “watershed”, a role previously attributed to excretory urography (UE). 66 patients were analyzed, mostly men, mostly between 20 and 40 years old. In all, 82% had nephretic colic, 12% urinary tract infection and 6% incidental diagnosis. 42% underwent an abdominal x-ray in the initial evaluation, 86% underwent at least one ultrasound of the kidneys and urinary tract, 33% underwent computed tomography, 97% collected a urine sample for EAS, 48% collected a 24-hour urine , 6% underwent an excretory urography, and in 62 patients (94%) serum biochemistry was requested. The most widely used clinical therapy was dietary guidance (97%). Regarding surgical treatment, there were 25 surgeries, with 6 complications, all self-limited. Finally, regarding the evolutionary outcome of these patients: 34 (52%) had resolution of the condition, with no recurrences during the study period; 17 (26%) had recurrence of the condition, with 16 patients after exclusive clinical treatment and only one recurrence after surgical treatment (ESWL); and there was therapeutic failure in 15 patients (23%), 12 of which were referred for a first or new surgery. The present study reaffirms most indicators of other studies at national and world level for the hospitals involved.