Are There Any Predictive Findings for Surgical Intervention Need in Urinary System Stones?

Background:Renal colic is a frequently encountered urologic emergency condition, that often develops due to kidney stone disease, manifests itself with severe pain, which prompt patients to admit emergency departments where it is usually diagnosed and treated. Most of the patients report a history of urinary stone disease or renal colic. In the present study, we aimed to investigate the factors that can predict the diagnosis and the need for intervention in those patients admitted with renal colic. Methods: Patients who were admitted to the emergency department and urology outpatient clinic of our hospital between May 2016 and June 2018 with the complaints of unilateral or bilateral side pain, abdominal pain, inguinal pain were reviewed retrospectively and patients who were suspected of renal colic were examined and included in the study. Physical examination findings, family history, history and pain scores of the patients were reviewed. Complete urinalysis was done and computed tomography (CT) was performed on patients suspected of having stones. Patients diagnosed with stone disease by CT were divided into two groups according to the criteria of having any need for intervention or not. Group I consisted of those patients who required surgical intervention due to stone while Group II consisted of the patients without stones or with stones that need no intervention other than medical treatment. Results:A total of 516 patients were included in the study. The mean age was found as 41,17 ± 20,8 years in group 1 and 36,08 ± 18,8 years in group 2. The male/female ratio was 112/60 in group 1 and 200/144 in group 2. As the result of the study, the presence of microscopic hematuria, familial history of stone, history of stone and history of stone operation were found to be predictive factors in determining the need for intervention due to urinary stone disease, in multiple analysis. Conclusions: The presence of familial history of stones, the presence of microscopic hematuria in complete urinalysis and the presence of a stone history may be used for predicting the need for interventions due to stones in those patients admitted to the emergency departments or outpatient clinics