Medina-Escobedo M, Martín-Soberanis G

Language: Spanish
References: 30
Page: 29-32
PDF size: 34.00 Kb.

ABSTRACT

Background: urolithiasis is endemic in Yucatan, Mexico, and its complications are abscesses and renal exclusion which end up in a nephrectomy. Our objective in this paper was to know the nephrectomy indications in Yucatecan population.
Methods: the nephrectomies from four concentrations hospitals of the Health Services, were analized. Patients older than 18 years were included; surgical indication, evolution time of the disease, and associated illnesses were registered. The diagnosis was confirmed by laboratory, X-rays or anatomopathological study. Statistics were t Student test and χ².
Results: 206 (70.5 %) women and 86 (29.5 %) men were included; they were 48 ± 14 years of age with an evolution time 40 ± 70 months. Nephrolithiasis was observed in 59.6 %, renal tumors 21.9 %, hydronephrosis 7.9 % and abscess 3.4 %. No cases with nephrolithiasis had metabolic studies. The cases with lithiasis (n = 174) had a longer evolution time and were younger at the time of the surgical procedure (p ± 0.05) than those not related to lithiasis (n = 118).
Conclusions: nephrolithiasis is the most frequent indication for nephrectomy in the Yucatecan population which differs from others reports.

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