Title: Treatment Strategies and Postoperative Outcomes in Renal Stone Disease: A 46-Patient Study
Authors: Safieddine Mehdi, Hannaoui Ali , Elftouhi Hamza, Ouzidane Yassine, Kbirou Adil, Moataz Amine, Dakir Mohamed, Debbagh Adil, Aboutaieb Rachid
Volume: 9
Issue: 2
Pages: 160-166
Publication Date: 2025/02/28
Abstract:
: Objective : This study aims to analyze the epidemiological, clinical, and therapeutic aspects of renal stone disease in a cohort of patients, highlighting the treatment approaches and outcomes.Methods: A retrospective study was conducted on 46 patients diagnosed with renal lithiasis. Epidemiological data, clinical presentation, imaging findings, and treatment strategies were analyzed. Results: The study included 20 men and 26 women, with a mean age of 57.6 years. The most common symptom was lower back pain (90%), followed by urinary disorders (39%) and hematuria (22%). Kidney stones were unilateral in 78% of cases and bilateral in 22%, with an average stone size of 38 mm. The primary treatment approaches included ureteroscopy, percutaneous nephrolithotomy, laparoscopic surgery, and open surgery, depending on stone size, location, and complexity. Postoperative complications were observed in 31% of cases, including infections (11%), residual lithiasis (7%), and acute kidney injury (7%). The overall recurrence rate was 7%.Conclusion : Despite advancements in minimally invasive techniques, the management of renal stones remains challenging, particularly in resource-limited settings. The study emphasizes the need for improved access to modern treatment modalities to enhance patient outcomes and reduce complications.