Calculus Nephrectomy: Dilemma of Developing Countries

OBJECTIVES: To determine the frequency of simple nephrectomy in patients presenting with urolithiasis. MATERIAL & METHODS: This is a retrospective study of patients presented at University hospital with urolithiasis during January 2007 to December 2010. The data were collected for patients who underwent nephrectomy for stone disease. RESULTS: Total number of patients admitted with urolithiasis was 2600. Out of these, 88 (3.38%) patients underwent simple nephrectomy for non-functioning kidney. Mean age of patients was 32.5 years, males were 62 (70.45%) and females were 26 (29.55%). Flank pain was predominated symptom in 88% of patients. Mean duration of symptoms was 2.4 years. Mean size of stone was 4.1cm. Seventy patients had stones in renal pelvis. CONCLUSION: Percentage of calculus nephrectomy among patients of urolithiasis is 3.38%.