Abstract
The seasonal prevalence of urinary calculus disease from the records of L. T. Municipal General Hospital, Sion, Bombay, which primarily caters services to poor people of Northeast Bombay, especially Dharavi slum area, is reported. The qualitative and quantitative compositions of stones collected from the patients of Dharavi slum area are also described.
Interestingly, the prevalence of bladder stones (BSF) was lower than that of upper urinary tract stones (UUTSF) which suggests the possibility of involvement of environmental pollution. As regards total number of stone patients, a sharp fall in male BSF in March and increase in male UUTSF in November were evident. In females the number was maximum in April in both BSF and UUTSF. However, no recognizable pattern of seasonal variation was seen in operated stone patients indicating that metabolically active disease is unrelated to season. Prevalence of bladder stones in children was high and male/female ratio was about 5.
All stones were of the mixed type. Infection was not a major contributor of stone growth. Calcium oxalate was the major constituent and ammonium acid urate was present in the majority of stones.
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Nath, R., Thind, S. K., Murthy, M. S. R., Talwar, H. S., Farooqui, S.: Molecular Aspects of Medicine. Pergamon Press, Oxford-New York-Frankfurt 1984.
Pyrah, L. N.: Incidence of stone in countries with different degrees of economic development. In: Renal Calculus. Vol. 7. Springer-Verlag, Berlin-Heidelberg-New York 1979.
Robertson, W. G., Peacock, M., Marshall, R. W., Speed, R., Nordin, B. E. C.: Seasonal variation in the composition of urine in relationship to calcium formers.Clin. Sci. Mol. Med., 49, 597 (1975).
Devries, A., Frank, M., Sperting, C., Liberman, U. A., Atsmon, A.: Nephrolithiasis in a subtropical climate. Proc. 9th Int. Cong. Life Assn. Med., Tel Aviv 1967, p. 132.
Hussain, F., Billimoria, F. R., Bapat, S. D., Singh, P. P.: Prevalence and Etiology of Urinary Stone Disease in North-East Bombay. Multidimensional Approach to Urolithiasis. 71 (1987).
Finlayson, A., Roth, R. A.: Stones, clinical management of urolithiasis. In: J. A. Libertine (ed.): International Perspectives in Urology, 6, 12 (1983).
Gindler, Em., King, J. D.: Rapid colorimetric determination of calcium in biologic fluids with methylthymol blue.Am. J. Clin. Pathol., 58, 376 (1972).
Natelson, S.: In: Techniques of Clinical Chemistry. 3rd ed. Charles C. Thomas, Springfield, Illinois, USA 1971, pp. 371, 491, 576.
Hodgkinson, A., Williams, A.: An improved colorimetric procedure for urine oxalates.Clin. Chim. Acta. 36, 127 (1972).
Singh, P. P., Singh, L. B. K., Prasad, S. N., Singh, M. G.: Urolithiasis in Manipur (North Eastern Region of India). Incidence and chemical composition of stones.Am. J. Clin. Nutr., 31, 1519 (1978).
Singh, L. B. K., Singh, M. G., Prasad, S. N., Sharma, G. P., Singh, P. P.: Urinary bladder stone disease and common types of urinary stones found in Manipur.Asian Med. J., 20, 589 (1977).
Pendse, A. K., Ghosh, R., Goyal, A., Singh, P. P.: Effect of indigenous drugs on idiopathic hyperoxaluria in stone formers.Asian Med. J., 27, 136 (1984).
Pendse, A. K., Singh, P. P.: The etiology of urolithiasis in Udaipur (Western part of India).Urol. Res., 14, 59 (1986).
Hallson, P. C., Kasidas, G. P., Rose, G. A.: Seasonal variations in urinary excretion of calcium and oxalate in normal subjects and in patients with idiopathic hypercalciuria.Br. J. Urol., 10, 1 (1977).
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Hussain, F., Billimoria, F.R. & Singh, P.P. Urolithiasis in Northeast Bombay: Seasonal prevalence and chemical composition of stones. International Urology and Nephrology 22, 119–124 (1990). https://doi.org/10.1007/BF02549827
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DOI: https://doi.org/10.1007/BF02549827