Renal stone disease: reasons for non-acceptance of surgical treatment among population of Western Rajasthan, India

Authors

  • Rama Kishan Saran Department of Surgery, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Ravindra Purohit Department of Urology, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Pradeep K. Sharma Department of Urology, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • M. K. Chhabra Department of Urology, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Gordhan Chaudhary Department of Urology, Dr. S. N. Medical College, Jodhpur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20202118

Keywords:

Complications, Renal disease, Socioeconomic, Surgical treatment

Abstract

Background: Renal stone is a common disease in Western Rajasthan. The aim of this study was to identify the causes of patient with renal disease for opting alternative methods for treatment instead of surgical approach.

Methods: A prospective study was conducted at the Department of Urology, Dr. SN Medical College, Jodhpur, Rajasthan between August 2018 and July 2019. Patients with diagnosis of complicated renal stone disease including infected hydronephrosis, pyonephrosis, and calyceal rupture were enrolled in this study. Along with demographic characteristics patients were asked to enumerate causes for delay in seeking surgical intervention in sequential order and the reasons given by each patient were recorded separately.

Results: A total of 80 patients with complicated renal stone disease were included in the study. Majority of the patients (77.50%) were men. Out of 80 patients, 32 patients were illiterate and 28 patients had primary level of education. Sixty-two patients reported only single reason for their negligence. Eleven and three patients reported two and three reasons, respectively. However, four patients could not provide any reason. The major cause reported by the patients (57.5%) for neglecting their disease was dependence and trust on alternative methods including ayurvedic medicines, homeopathic medicines, bhopas, and superstition.

Conclusions: The majority of patients were belonged to lower socioeconomic class reported that dependence and trust on alternative methods including ayurvedic and homeopathic medicines are the major cause of neglecting their disease.

References

Abbagani S, Gundimeda SD, Varre S, Ponnala D, Mundluru HP. Kidney stone disease: etiology and evaluation. Int J Appl Biol Pharmaceut Technol. 2010 May;1(1):175-82.

Ganesamoni R, Singh SK. Epidemiology of stone disease in Northern India. In Urolithiasis. Springer, London. 2012: 39-46.

Gupta NP, Kochar GS, Wadhwa SN, Singh SM. Management of patients with renal and ureteric calculi presenting with chronic renal insufficiency. Br J Urol. 1985 Apr;57(2):130-2.

Ansari MS, Gupta NP, Hemal AK, Dogra PN, Seth A, Aron M, et al. Spectrum of stone composition: structural analysis of 1050 upper urinary tract calculi from northern India. Int J Urol. 2005 Jan;12(1):12-6.

Guha M, Banerjee H, Mitra P, Das M. The Demographic Diversity of Food Intake and Prevalence of Kidney Stone Diseases in the Indian Continent. Foods. 2019 Jan;8(1):37.

Pendse AK, Ghosh R, Ramavataram DV, Singh PP. Nutrition and urinary calcium stone formation in northwestern India: a case control study. Urolog Res. 1996 Jun 1;24(3):141-7.

Safarinejad MR. Adult urolithiasis in a population-based study in Iran: prevalence, incidence, and associated risk factors. Urolog Res. 2007 Apr 1;35(2):73-82.

Qaader DS, Yousif SY, Mahdi LK. Prevalence and etiology of urinary stones in hospitalized patients in Baghdad. Eastern Mediterr Health J. 2006;12(6):853-61.

Khan AS, Rai ME, Pervaiz A, Shah AH, Hussain AA, Siddiq M. Epidemiological risk factors and composition of urinary stones in Riyadh Saudi Arabia. J Ayub Medi Coll Abbott. 2004;16(3):56-8.

Scales CD, Curtis LH, Norris RD, Springhart WP, Sur RL, Schulman KA, et al. Changing gender prevalence of stone disease. J Urol. 2007 Mar;177(3):979-82.

States of literacy, 2011. Available at: http://censusindia.gov.in/2011-prov results/data_files/india/Final_PPT_2011_chapter6.pdf. Accessed 20 February 2020

Barjatiya MK, Singh PP. Zinc and phosphorite mining environment is conducive to urolithiasis. J Renal Sci. 1998;1(10).

Kieley S, Dwivedi R, Monga M. Ayurvedic medicine and renal calculi. J Endourol. 2008 Aug 1;22(8):1613-6.

Anisur KB. Non-surgical expulsion of renal stones (calculi) with homeopathic remedies: A dependable alternative option. Int J Curr Adv Res. 2018;7:9908-18.

Downloads

Published

2020-05-22

Issue

Section

Original Research Articles