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Management of Patients with Renal and Ureteric Calculi Presenting with Chronic Renal Insufficiency
Author(s) -
Gupta N. P.,
Kochar G. S.,
Wadhwa S. N.,
Singh S. M.
Publication year - 1985
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1985.tb06404.x
Subject(s) - medicine , renal function , chronic renal insufficiency , chronic renal failure , creatinine , urology , impaired renal function , surgery
Summary— Of 403 patients with renal and ureteric calculi treated during the last 4 years, 64 presented with features of chronic renal insufficiency: 59 of these underwent surgery. Good pre‐operative preparation and conservative renal surgery restored normal renal function in 14 patients and 27 improved significantly. The remainder either did not improve or continued to have progressive renal failure. It is emphasised that these patients are considerably worse off compared with their counterparts with normal renal function. The overall mortality rate was 17%. Patients whose post‐operative serum creatinine levels did not stabilise to less than 884 pmol/l seemed to make poor progress in the follow‐up period.