Simple Nephrectomy; Etiologies and Common Presentation of Non-Functional Kidneys in Patients in a Tertiary Care Hospital

Abstract

ABSTRACT… Objectives: The aim of this study was to identify the main etiological factors responsible for non-functional kidneys and the most common presenting complaints in patients undergoing simple nephrectomy in a tertiary care hospital. Setting: Urology department of Nishter Medical College and Hospital Multan. Period: January 2014 to June 2015 were selected for this study. Methods: A total of Eighty (80) patients with non-functional kidney, who underwent simple nephrectomy. Patients of any age and gender were included. Patients having non-functional kidney due to any malignancy were excluded from this analysis. Detailed clinical history regarding pain, micturition, radiographic findings and co-morbid conditions was taken from every patients. Results: The mean patient's age was 29.21+11.80 years and the median age was 25 years. Most common presenting complaints was flank pain. Mean Duration of flank pain was 21.86+35.06 months. 45 (56.2%) were presented with Rt. Flank pain, 29 (36.2%) were presented with Lt. Flank pain and 6 (7.5%) were of not having pain. Most common presenting complaint along with flank pain was fever presented in 19 (23.8%) patients. The 2 nd most common was dysuria, 15 (8.8%) patients were presented with flank pain+dysuria. 11 (13.8%) were with flank pain + pyrexia. Stone disease was the most common pathology responsible for non-functional kidney diagnosed in 40 (50%) patients, out of which 35 (43.8%) were with renal stones and 5 (6.2%) with ureteric stones. The 2 nd most common pathology was Uretero-pelvic junction obstruction (UPJO) presented in 25 (31.2%) patients. Conclusion: Renal stones are most common benign cause responsible for most of the nephrectomies and UPJO is the 2 nd most common pathology. While most common presenting complains of patients suffering from non-functional kidney are flank pain, and flank pain along with fever or Pyuria. Key words:Non-functional kidney, flank pain, nephrectomy. Article Citation: Masood N, Hameed A, Javed MI, Zaidi AI, Bilal A, Naeem K. Simple nephrectomy; etiologies and common presentation of non-functional kidneys in patients in a tertiary care hospital.