Study of Urinary Stones in Children at Tishreen University Hospital

International Journal of Medical Science

© 2024 by SSRG - IJMS Journal

Volume 11 Issue 3

Year of Publication : 2024

Authors : Yousef Bada, Mohammad Kanaan, Ayman Harfoush

10.14445/23939117/IJMS-V11I3P107

How to Cite?

Yousef Bada, Mohammad Kanaan, Ayman Harfoush, "Study of Urinary Stones in Children at Tishreen University Hospital," SSRG International Journal of Medical Science, vol. 11,  no. 3, pp. 45-50, 2024. Crossref, https://doi.org/10.14445/23939117/IJMS-V11I3P107

Abstract:

Urinary stones are a common disease, especially in civil societies, and the rate of stone formation in children has increased in previous decades at an annual rate ranging between 5% and 10%. The reasons leading to the formation of stones in children vary, and they may be recurrent stones that may affect the children's quality of life, the development of the urinary tract, and renal function. Aim: Determine the chemical composition of urinary stones in children, determine the metabolic and anatomical disorders that cause them, and come up with a preventive plan to prevent the recurrence of their stones. Materials and Methods: A prospective study of pediatric urinary stone patients who visited the Department of Urology at Tishreen University Hospital during 2022 and 2023. A chemical analysis was performed for the stones isolated from the patients, (129) child patients were included in the study. Results: The study included 129 patients with urinary stones: 83 male patients and 46 female patients. The patients were divided into two groups: a preschool group (46) children and a school-age group (83) children. The most common complaint in the first group was UTI (41.9%), and flank pain in the second group (40%). A positive family history was noted in 58% of the first group and 70.9% in the second group. Urinary tract abnormalities predisposing to stone formation were diagnosed in 18.6% of study patients. The most common type of stones were pure calcium oxalate stones, at a rate of 43.4%. The presence of a metabolic disorder was recorded in 84.8% of the first group and 79.5% of the second group. The most common metabolic disorder among the study patients was hypercalciuria, followed by hypocitraturia. A high rate of stone recurrence was observed when there was an early onset of stone disease, a positive family history of stone disease, or the presence of anatomical abnormalities in the urinary tract. Conclusions: It is recommended to analyze the components of urinary stones to determine the chemical composition and apply an adequate radiological and metabolic study for children with urinary stones on the Syrian coast to determine the cause of stone formation, especially in patients with stone recurrence and preschool age children, to prevent recurrence, which reflects a better quality of life for the patient, reduces treatment costs, and ensures Maintaining healthy development of the kidneys and urinary tract.

Keywords:

Urinary stones, Urolithiasis in children, Stones recurrence, Syrian coast.

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