Öz
Objective: The aim of this study was to evaluate patients presented
with acute urinary retention and found to have bladder stones.
Method: The records of 27 adult male patients presented to the
emergency clinic with acute urinary retention between October 2011 and December
2017 were examined retrospectively. Patients' age, stone size, etiologic
factors and treatment modalities were analyzed.
Results: All patiens were male and the mean age was 60.41±15.71
(19-86) years. The main complaint of all patients was acute urinary retention.
In addition, one patient had a feeling of fullness in the rectum, three had
bilateral flank pain, five had high fever and four had renal failure. A total
of nine (33.3%) patients were found to have stones localized in anywhere in the
urinary tract along with bladder stones. All patients who had urogenital
pathology pose a risk for bladder stone formation. The most common pathology
was prostatic hyperplasia seen in 19 (70.4%) patients.
Conclusions: We
are of the opinion that it is very important to consider bladder stones among
the preliminary diagnoses in patients presenting with acute urinary retention.
Anahtar Kelimeler
Kaynakça
- 1- Taşcı Aİ. Urinary Retention. Turkiye Klinikleri J Surg Med Sci 2007;3(20):37-402- Thomas K, Chow K, Kirby RS. Acute urinary retention: A review of the aetiology and management. Prostate Cancer and Prostatic Diseases 2004,7(1): 32-7.3- Budak S, Yılmaz M, Aydemir H, Köse O, Dilek FH, Adsan Ö. A Rare Cause of Acute Urinary Retention: Retroperitoneal Ganglioneuroma and Concurrent Mediastineal Schwannoma. J Clin Anal Med 2013; 4(suppl 2): 145-7. 4- Marshall JR, Haber J, Josephson EB. An evidence-based approach to emergency department management of acute urinary retention. Emergency Medicine Practice 2014; 16(1): 1-205- Selius BA, Subedi R. Urinary retention in adults: diagnosis and initial management. Am Fam Physician. 2008; 77(5): 643-50.6- Shelley H: Cutting for the stone. J Hist Med Allied Sci 1958; 13:50-67.7- Hammad FT, Kaya M, Kazim E. Bladder calculi: did the clinical picture change? Urology. 2006; 67(6): 1154-8. 8- Budak S, Sağlam HS, Köse O, Kumsar Ş, Gürdök Budak G, Adsan Ö et al. Acute Renal Failure and Urosepsis Secondary to Giant Bladder Stone in Patient with Spinal Injury. Turk J Phys Med Rehab 2014; 60 (Supp. 1): 85-8.9- Cicione A, DE Nunzio C, Manno S, Damiano R, Posti A, Lima E et al. Bladder stone management: an update. Minerva Urol Nefrol. 2018; 70(1): 53-65.10- Kilciler M, Erdemir F, Bedir S, Çoban H, Erten K, Özgök Y. The Clinical experience with urethral stones and review of the literature. Türk Üroloji Dergisi 2005; 31(3): 389-395.11- Xu H, Zisman AL, Coe FL, Worcester EM. Kidney stones: an update on current pharmacological management and future directions. Expert Opin Pharmacother. 2013; 14:435-4712- Trinchieri A. Epidemiology of urolithiasis: an update. Clin Cases Miner Bone Metab. 2008; 5(2): 101-6.13- Akinci M, Esen T, Tellaloğlu S. Urinary stone disease in Turkey: an updated epidemiological study. Eur Urol. 1991; 20(3): 200-3.14- Uluocak N, Erdemir F, Atılgan D, Erkorkmaz Ü, Çetin İ, Parlaktaş BS. The prevalence of urinary system stone disease in Tokat province. Turkish Journal of Urology 2010; 36(1): 81-6. 15- Demirel HC, Dalkılınç A. Urinary Bladder and Urethral Stones. Turkiye Klinikleri J Urology-Special Topics 2016; 9(2): 68-74.16- Yoldaş M, Kuvvet Yoldaş T, Türk H, Karabıçak M, Ergani B, Çelik O et al. A giant bladder stone as a cause of acute renal injury: Case report Tepecik Eğit. ve Araşt. Hast. Dergisi 2015; 25(2): 140-2.17- Salar R, Özbay E, Karlıdağ İ, Durmuş E, Öncel HF, Özyuvali E et al. Spontaneous Bladder Perforation Due To Giant Bladder Stone: A Case Report Van Tıp Derg 2017; 24(3): 188-190, 18- Jahromi MS, Mure A, Gomez CS. UTIs in patients with neurogenic bladder. Curr Urol Rep. 2014; 15(9): 433.19- Öztürk S, Beyazıt Y, Büyükkurt S, Gelegen KÖ, Doran Ş. Laparoscopic cystolithotomy and transvaginal extraction for removal of a large bladder stone. Cukurova Med J 2017; 42(3): 571-4.20- Lal B, Paryani JP, Memon SU. Childhood bladder stones - an endemic disease of developing countries. J Ayub Med Coll Abbottabad. 2015; 27: 17-21.21- Valyasevi A, Van Reen R. Pediatric bladder stone disease; current status of research. J Pediatr. 1968; 72(4): 546-53.22- Chen Y, DeVivo MJ, Lloyd LK. Bladder stone incidence in persons with spinal cord injury: determinants and trends, 1973-1996. Urology 2001; 58: 665-7023- Stav K, Dwyer PL. Urinary bladder stones in women. Obstet Gynecol Surv. 2012; 67: 715-25.24- Okeke LI, Takure AO, Adebayo SA, Oluyemi OY, Oyelekan AA. Urethral obstruction from dislodged bladder diverticulum stones: a case report. BMC Urol. 2012; 12: 31. 25- Agarwal A, Sigdel G, KC SR, Shrestha P, Belokar WK. A unusual case of 356 vesical calculii. Journal of College of Medical Sciences-Nepal, 2012; 8: 44-7. 26- Schwartz BF, Stoller ML. The vesical calculus. Urol Clin North Am. 2000; 27:333-46.27- Erdem E, Usta A, Altun E, Karacan M. Giant Bladder Stone, Bilateral Hydronephrosis And Urinary İncontinence; A Case Report And A Review Of The Literature. Balıkesır Medical Journal 2017; 1:3:12028- Sarıca K, Baltacı S, Kılıç S, Dinçel S, Şafak M. 371 Bladder Calculi in a Benign Prostatic Hyperplasia Patient. International Urology and Nephrology 1994; 26: 23-5. 29- Deliktaş H, Çetinkaya M, Şahin H. Comparison between transurethral resection of the prostate and simultaneously performed percutaneous, and transurethral cystolithotripsy. Tepecik Eğit. ve Araşt. Hast. Dergisi 2017; 27(1): 37-41.
Öz
Amaç: Çalışmamızda
akut üriner retansiyon ile başvuran ve mesane taşı tespit edilen hastaların
değerlendirilmesi amaçlanmıştır.
Yöntem: Ekim
2011 ve Aralık 2017 tarihileri arasında acil kliniğine akut üriner retansiyon
ile başvuran ve mesane taşı tespit edilen 27 erişkin erkek hastanın dosyaları
retrospektif olarak incelendi. Hastaların yaşı, taş boyutları, etiyolojik
faktörleri ve uygulanan tedavi modaliteleri analiz edildi.
Bulgular: Çalışmaya
alınan hastaların tamamı erkek olup yaş ortalaması 60,41±15,71 (19-86) yıl idi.
Tüm hastaların ana başvuru şikayeti akut idrar retansiyonu idi. Ek olarak
hastaların 1’inde rektal dolgunluk hissi, 3’ünde iki taraflı yan ağrısı, 5’inde
yüksek ateş ve 4’ünde böbrek yetmezliği tablosu izlendi. Toplam 9 (%33,3)
hastada mesane taşı ile beraber üriner sistemin herhangi bir lokalizasyonunda
taş tespit edildi. Tüm hastalarda mesane taşı oluşumuna neden olacak ürogenital patoloji
izlendi. En sık tespit edilen patoloji 19 (%70,4) hastada izlenen prostat
hiperplazisi idi.
Sonuç: Akut
üriner retansiyon ile başvuran hastalarda mesane taşlarının ön tanılar arasında
düşünülmesinin son derece önemli olduğu kanaatindeyiz.
Anahtar Kelimeler
Kaynakça
- 1- Taşcı Aİ. Urinary Retention. Turkiye Klinikleri J Surg Med Sci 2007;3(20):37-402- Thomas K, Chow K, Kirby RS. Acute urinary retention: A review of the aetiology and management. Prostate Cancer and Prostatic Diseases 2004,7(1): 32-7.3- Budak S, Yılmaz M, Aydemir H, Köse O, Dilek FH, Adsan Ö. A Rare Cause of Acute Urinary Retention: Retroperitoneal Ganglioneuroma and Concurrent Mediastineal Schwannoma. J Clin Anal Med 2013; 4(suppl 2): 145-7. 4- Marshall JR, Haber J, Josephson EB. An evidence-based approach to emergency department management of acute urinary retention. Emergency Medicine Practice 2014; 16(1): 1-205- Selius BA, Subedi R. Urinary retention in adults: diagnosis and initial management. Am Fam Physician. 2008; 77(5): 643-50.6- Shelley H: Cutting for the stone. J Hist Med Allied Sci 1958; 13:50-67.7- Hammad FT, Kaya M, Kazim E. Bladder calculi: did the clinical picture change? Urology. 2006; 67(6): 1154-8. 8- Budak S, Sağlam HS, Köse O, Kumsar Ş, Gürdök Budak G, Adsan Ö et al. Acute Renal Failure and Urosepsis Secondary to Giant Bladder Stone in Patient with Spinal Injury. Turk J Phys Med Rehab 2014; 60 (Supp. 1): 85-8.9- Cicione A, DE Nunzio C, Manno S, Damiano R, Posti A, Lima E et al. Bladder stone management: an update. Minerva Urol Nefrol. 2018; 70(1): 53-65.10- Kilciler M, Erdemir F, Bedir S, Çoban H, Erten K, Özgök Y. The Clinical experience with urethral stones and review of the literature. Türk Üroloji Dergisi 2005; 31(3): 389-395.11- Xu H, Zisman AL, Coe FL, Worcester EM. Kidney stones: an update on current pharmacological management and future directions. Expert Opin Pharmacother. 2013; 14:435-4712- Trinchieri A. Epidemiology of urolithiasis: an update. Clin Cases Miner Bone Metab. 2008; 5(2): 101-6.13- Akinci M, Esen T, Tellaloğlu S. Urinary stone disease in Turkey: an updated epidemiological study. Eur Urol. 1991; 20(3): 200-3.14- Uluocak N, Erdemir F, Atılgan D, Erkorkmaz Ü, Çetin İ, Parlaktaş BS. The prevalence of urinary system stone disease in Tokat province. Turkish Journal of Urology 2010; 36(1): 81-6. 15- Demirel HC, Dalkılınç A. Urinary Bladder and Urethral Stones. Turkiye Klinikleri J Urology-Special Topics 2016; 9(2): 68-74.16- Yoldaş M, Kuvvet Yoldaş T, Türk H, Karabıçak M, Ergani B, Çelik O et al. A giant bladder stone as a cause of acute renal injury: Case report Tepecik Eğit. ve Araşt. Hast. Dergisi 2015; 25(2): 140-2.17- Salar R, Özbay E, Karlıdağ İ, Durmuş E, Öncel HF, Özyuvali E et al. Spontaneous Bladder Perforation Due To Giant Bladder Stone: A Case Report Van Tıp Derg 2017; 24(3): 188-190, 18- Jahromi MS, Mure A, Gomez CS. UTIs in patients with neurogenic bladder. Curr Urol Rep. 2014; 15(9): 433.19- Öztürk S, Beyazıt Y, Büyükkurt S, Gelegen KÖ, Doran Ş. Laparoscopic cystolithotomy and transvaginal extraction for removal of a large bladder stone. Cukurova Med J 2017; 42(3): 571-4.20- Lal B, Paryani JP, Memon SU. Childhood bladder stones - an endemic disease of developing countries. J Ayub Med Coll Abbottabad. 2015; 27: 17-21.21- Valyasevi A, Van Reen R. Pediatric bladder stone disease; current status of research. J Pediatr. 1968; 72(4): 546-53.22- Chen Y, DeVivo MJ, Lloyd LK. Bladder stone incidence in persons with spinal cord injury: determinants and trends, 1973-1996. Urology 2001; 58: 665-7023- Stav K, Dwyer PL. Urinary bladder stones in women. Obstet Gynecol Surv. 2012; 67: 715-25.24- Okeke LI, Takure AO, Adebayo SA, Oluyemi OY, Oyelekan AA. Urethral obstruction from dislodged bladder diverticulum stones: a case report. BMC Urol. 2012; 12: 31. 25- Agarwal A, Sigdel G, KC SR, Shrestha P, Belokar WK. A unusual case of 356 vesical calculii. Journal of College of Medical Sciences-Nepal, 2012; 8: 44-7. 26- Schwartz BF, Stoller ML. The vesical calculus. Urol Clin North Am. 2000; 27:333-46.27- Erdem E, Usta A, Altun E, Karacan M. Giant Bladder Stone, Bilateral Hydronephrosis And Urinary İncontinence; A Case Report And A Review Of The Literature. Balıkesır Medical Journal 2017; 1:3:12028- Sarıca K, Baltacı S, Kılıç S, Dinçel S, Şafak M. 371 Bladder Calculi in a Benign Prostatic Hyperplasia Patient. International Urology and Nephrology 1994; 26: 23-5. 29- Deliktaş H, Çetinkaya M, Şahin H. Comparison between transurethral resection of the prostate and simultaneously performed percutaneous, and transurethral cystolithotripsy. Tepecik Eğit. ve Araşt. Hast. Dergisi 2017; 27(1): 37-41.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Cerrahi Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Mart 2019 |
| Kabul Tarihi | 25 Mart 2019 |
| Yayımlandığı Sayı | Yıl 2019 |