Publication: Surgical Management of Pediatric Urolithiasis: Descriptive Study from a Tertiary Care Center in Nepal
| creativeworkseries.issn | ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987 | |
| dc.contributor.author | Guragain, Bipin | |
| dc.contributor.author | Phuyal, Anjit | |
| dc.contributor.author | Gyawali, Milan | |
| dc.contributor.author | Pandit, Durga | |
| dc.contributor.author | Parajuli, Purushottam | |
| dc.contributor.author | Pradhan, Manish M | |
| dc.contributor.author | Poudyal, Sujeet | |
| dc.contributor.author | Chapagain, Suman | |
| dc.contributor.author | Luitel, Bhojraj | |
| dc.contributor.author | Chalise, Pawan R | |
| dc.contributor.author | Sharma, Uttam K | |
| dc.contributor.author | Gyawali, Prem R | |
| dc.date.accessioned | 2026-02-11T10:44:12Z | |
| dc.date.available | 2026-02-11T10:44:12Z | |
| dc.date.issued | 2023 | |
| dc.description | Bipin Guragain, Anjit Phuyal, Milan Gyawali, Durga Pandit, Purushottam Parajuli, Manish M Pradhan, Sujeet Poudyal, Suman Chapagain, Bhojraj Luitel, Pawan R Chalise, Uttam K Sharma, Prem R Gyawal Department of Urology and Kidney Transplant Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal | |
| dc.description.abstract | ABSTRACT Introduction: Urolithiasis is common in the pediatric population in low-resource countries but appropriate management is not available in all parts of the country. This study aimed to identify demographic parameters, clinical characteristics, and surgical management of pediatric urolithiasis in a tertiary care center in Nepal. Methods: This was a retrospective and descriptive study of pediatric patients (≤18 years) who underwent surgical management of urolithiasis in the Department of Urology and Kidney Transplant Surgery, Tribhuvan University Teaching Hospital from January 2021 to December 2022. Results: Total 64 patients with Male: Female ratio 1.78:1 and mean age of 8.63±5.56 years presented mostly with pain abdomen (93.8%) followed by lower urinary tract symptoms (26.6%), hematuria (20.3%), and fever (14.1%). The mean number of calculi was 2.2±1.47 and the mean size was 13.97±8.30 mm. Most of the calculi (39.1%) were in the right system and 90.62% were in the upper tract. Only 15.62% of patients had calculi in the lower tract. Open surgeries were performed in only 10.93% and the rest were managed by minimally invasive procedures. Percutaneous nephrostomy tube insertion was done in 6 (9.37%) of patients and 1 (1.56%) underwent nephrectomy for nonfunctioning kidney. Conclusion: Pediatric urolithiasis patients presented with pain abdomen, lower urinary tract symptoms, or hematuria. Surgical management has shifted from open surgeries in the past to minimally invasive surgeries at present. Keywords: Minimally invasive surgery; pediatric; urolithiasis | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/4696 | |
| dc.language.iso | en_US | |
| dc.publisher | Institute of Medicine | |
| dc.subject | Minimally invasive surgery | |
| dc.subject | pediatric | |
| dc.subject | urolithiasis | |
| dc.title | Surgical Management of Pediatric Urolithiasis: Descriptive Study from a Tertiary Care Center in Nepal | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 60 | |
| oaire.citation.startPage | 55 | |
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