A Tertiary Care Hospital's Comparison of Hydronephrosis in an Adult and a Rare Cause

Dr. Alina Liaqat; Dr. Muhammad Usman; Dr. Farhat Rehman; Dr. Alamzeb Jadoon; Dr. Saad Ali; Dr. Irsa Hidayat; Dr. Ammad Ali1

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Publication Date: 2023/11/27

Abstract: OBJECTIVE: The goal of the study was to examine the demographic makeup and clinical manifestations of hydronephrosis with uncommon etiology. Examine the anatomical features that affect the distribution of hydronephrosis. Investigate corresponding pathologies in hydronephrosis instances. Analyze the connection between hydronephrosis, weight, and age. METHODOLOGY: A cross-sectional study was carried out from January 2021 to January 2022 after receiving ethical approval. Patients with recently diagnosed kidney stones ranged in age from 21 to 68. Individuals with cancer, renal malformation, diabetes, hypertension, heart failure, or serum creatinine > 1.3 mg/dL were excluded from baseline examinations. Chi-square analysis and SPSS version 24 were used to analyze the data, which were gathered using a questionnaire. RESULT: The study included 178 patients, with a median age of 38 years and 61% females. Both macroscopic hematuria (5%) and incomplete hydronephrosis (74%) were common presentations. Anatomical distribution in unilateral/bilateral cases (31%/69%) and left/right distribution (62%/38%) revealed significant differences. Bladder tumors (2%) and ureteral strictures (11%) were associated diseases. Age-weight ratios showed distinct trends. CONCLUSION: Rare causes of hydronephrosis display distinctive clinical and demographic traits. Macroscopic hematuria and incomplete hydronephrosis are telltale signs. Anatomical differences affect presentation, emphasizing the necessity for individualized care. It is critical to recognize related disorders. The study informs clinical practice and advances the diagnosis and treatment of this distinct subset of hydronephrosis sufferers.

Keywords: Adult, Hydronehprosis, Causes, Obstruction, Surgery, Weight.

DOI: https://doi.org/10.5281/zenodo.10209873

PDF: https://ijirst.demo4.arinfotech.co/assets/upload/files/IJISRT23NOV1152.pdf

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