A PRELIMINARY STUDY OF PEDIATRIC UROLITHIASIS CASES WITH SPECIAL REFERENCE TO METABOLIC EVALUATION.

Dr Manish Singhal; Dr Shilpi Jain; Dr H. L. Khamesra

Volume : V, Issue : XII, December - 2015

A PRELIMINARY STUDY OF PEDIATRIC UROLITHIASIS CASES WITH SPECIAL REFERENCE TO METABOLIC EVALUATION.

Dr Manish Singhal, Dr Shilpi Jain, Dr H. L. Khamesra

Abstract :

BACKGROUND – Urolithiasis is known to occur since, prehistoric times. It is relatively uncommon in children compared with adults & occurs because of a variety of factors, including defined metabolic & genetic disorder, geographic & socioeconomic boundaries, & exposure to medication & other environmental influences. The specific aims of this study are to find the incidence of pediatric urolithiasis in the region & to assess various metabolic risk factors contributing to formation of pediatric urolithiasis. METHODS – Patients upto age of 12 years who consented for metabolic evaluation during May 2005 to Nov. 2006 admitted in our hospital were included in the study. RESULTS – The overall ratio of pediatric to adult urolithiasis was found to be 1:20. Male/ female ratio in pediatric age is 4:1. This study showed higher prevalence in 8–12 years of age. Rural (88%) & poor socio–economic status group (52%) have higher incidence. Vesical calculus is more common than renal calculus. None of the patient came with a recurrence in our study. CONCLUSION – Pediatric urolithiasis is relatively uncommon as compared to adults & is more common in males. Higher socio–economic status & urban lifestyle predisposes to upper urinary tract stones & lower socio–economic status & rural background children had lower urinary tract stones. CONFLICTS OF INTEREST – none