![]() ![]() A non-contrast abdominopelvic spiral computed scan (CT) was obtained to diagnose staghorn renal stones. This study was approved by the Tehran University of Medical Sciences ethics committee (IR.1398.1032). In a case-control study from January 2020 to April 2020, sixty-three patients with staghorn renal stones enrolled in our study after obtaining written informed consent. This study aims to evaluate the relationship between opium addiction and the occurrence of staghorn kidney stones. Opiate addiction could affect the renal environment as in heroin substance users, heroin nephropathy was reported due to its effect on glomerular function (16, 17). However, one aspect of care that has not been well-understood is what happens to patients following a stone event requiring medical narcotic prescriptions and even nonmedical opium utilization (14, 15). Such medications could result in opiate dependence. On the other hand, renal stones are associated with pain, so different medications such as opiates are prescribed for pain control in acute stone episodes or a perioperative setting. The recent guidelines advocated complete metabolic evaluation and prompted stepwise management of staghorn renal stones with minimally invasive surgeries like percutaneous renal surgeries (11-13). Anecdotal reports regarding the fate of untreated struvite stones showed that the staghorn stone could result in significant morbidity and mortality (7-10). The main risk factors for these stones are urinary tract infection, stasis, female sex, neurogenic bladder due to the spinal cord injury, long-term urinary catheter, and renal anomalies (3-6). Staghorn renal stones are more common in women than the other renal stones that are more common in male patients. The primary type of staghorn stones is struvite (infectious stone), but stones like uric acid and cysteine could result in staghorn stones (1, 2). ![]() They were categorized into two different entities: partial staghorn, which is defined as stones occupying the renal pelvis and at least two calyces, and complete staghorn which occupies the renal pelvis and all calyces. Staghorn calculi formed 10-20 % of all renal stones. Nonmedical Opiate addiction could be considered a risk factor for staghorn kidney stones.Higher proportions of men and uneducated persons with staghorn renal stones.Evaluation of the effect of opiate addiction on the occurrence of staghorn renal stones.Nonmedical Opiate addiction could be considered a risk factor for staghorn kidney stones. In the case group, fifty patients (79.4%) were undergraduates compared to 28 patients (46.7%) in the control group (P-value<0.001).Ĭonclusion: Our study represents higher proportions of men and uneducated persons with staghorn renal stones. The prevalence of addiction in patients with staghorn kidney stones was significantly higher than in the control group (30 patients 46.2% vs. There was no significant difference regarding smoking status between the patients with a staghorn kidney stone and the control group (14 22.2 % vs. Results: The incidence of staghorn kidney stones was significantly higher in males than females (45 71.4 % male vs. The primary demographic data, including age, sex, educational status, smoking history, and nonmedical opium utilization, were compared between the two groups. The exclusion criteria were age <18 years, single kidney, renal anomalies, and previous history of malignancy. Methods : In a case-control study from January 2020 to April 2020, sixty-three patients with staghorn renal stones enrolled in our study and compared with the 60 healthy patients. Introduction: To evaluate the effect of opiate addiction on the occurrence of staghorn renal stones. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |