Title: Rising Trend of Nephrectomies in Younger Age Groups

Authors: Deesha Bhemat, Santosh Gawali, Shilpi Sahu, Reeta Dhar

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i3.209

Abstract

Nephrectomy is common surgery in day-to-day practice of urology. We present a case series of younger patients who underwent nephrectomy between 2014 to Aug’2016 and recorded their details including age, sex, clinical findings, investigations, history regarding the diet, lifestyle and biochemical analysis of calculus. We conclude that in younger age group obstructive nephropathy was the main cause of nephrectomy which resulted in to chronic pyelonephritis.

Keywords- Nephrectomy, Younger age group, Urolithiasis, Obstructive Nephropathy, Pyelonephritis

References

1.      El Malik F, Memon SR, Ibrahim AL, et al. Nephrectomy in Adults: Asir Hospital Experience. Saudi J Kidney Dis Transpl 1997;8: 423-7

2.      Michael A Policastro, Urinary Obstruction http://emedicine.medscape.com/article/778456-overview

3.      Evan AP. Physiopathology and etiology of stone formation in the kidney and the urinary tract. Pediatric Nephrology (Berlin, Germany). 2010;25(5):831-841.

4.      Curhan GC, Willett WC, Knight EL, Stampfer MJ. Dietary factors and the risk of incident kidney stones in younger women: Nurses’ Health Study II. Arch Intern Med. 2004;164:885–91

5.      Najeeb Q, Masood I, Bhaskar N, Kaur H, Singh J, Pandey R, et al. Effect of BMI and urinary pH on urolithiasis and its composition. Saudi J Kidney Dis Transpl. 2013;24:60–6.

6.      Embon OM, Rose GA, Rosenbaum T. Chronic dehydration stone disease. Br J Urol. 1990;66:357-62.

7.      Pais VM, Strandhoy JW, Assimos DG. Pathophysiology of urinary tract obstruction. In: Walsh PC, Retik AB, Vaughan ED, et al, eds. Campbell’s Urology. 4th ed. Philadelphia, PA: Elsevier; 2007:1195–1226.

8.      Gonlusen G, Truong A, Shen SS, et al. Granulomatous pyelitis associated with urinary obstruction: a comprehensive clinicopathologic study. Mod Pathol. 2006;19:1130–1138.

9.      Sugie, S. , T. Tanaka , A. Nishikawa , et al. Fine-needle aspiration cytology of xanthogranulomatous pyelonephritis. Urology 1991. 37 (4):376–379.

Corresponding Author

Dr Deesha Bhemat

2nd Year Resident, Pathology Dept, MGM Medical College

Kamothe, Navi Mumbai, Maharashtra, India,

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mob-+919173659525