Saudi Journal of Kidney Diseases and Transplantation

ORIGINAL ARTICLE
Year
: 1997  |  Volume : 8  |  Issue : 4  |  Page : 423--427

Nephrectomy in Adults: Asir Hospital Experience


El Fadil M.A El Malik1, Shafiq R Memon2, Ahmed LA Ibrahim1, Abdulwahab Al Gizawi2, Ahmed M Ghali2 
1 College of Medicine, King Saud University, Abha Branch, Asir Central Hospital, Saudi Arabia
2 College of Medicine, King Saud University, Abha Branch, Abha, Saudi Arabia

Correspondence Address:
El Fadil M.A El Malik
College of Medicine, King Saud University-Abha Branch, P.O. Box 641, Abha
Saudi Arabia

We retrospectively analysed the clinical data and investigations of 85 adult patients who underwent nephrectomy at a referral hospital in Asir region. The patients were fairly young with mean age of 44 years except those with transitional cell carcinoma of the upper urinary tract who had a mean age of 67 years. The male to female ratio was 1.9:1 and there was slight predominance of right sided lesions. Loin pain was the leading presenting feature with only a few cases presenting with hematuria and some with a loin mass. The leading indication for nephrectomy was chronic obstruction culminating in end-stage pyelonephritis (65%), followed by malignancy of kidneys and upper urinary tract (22%). Fifty six percent of the cases with obstruction had associated upper urinary tract stones. Ultrasonography and intravenous urography were excellent in the evaluation of clinically significant obstruction but many ancillary imaging procedure were needed to evaluate the nature of the obstructing lesion. We conclude that obstructive nephropathy is the main cause for nephrectomy in Asir, with urolithiasis implicated in more than half of the cases of obstruction.


How to cite this article:
El Malik EM, Memon SR, Ibrahim AL, Al Gizawi A, Ghali AM. Nephrectomy in Adults: Asir Hospital Experience.Saudi J Kidney Dis Transpl 1997;8:423-427


How to cite this URL:
El Malik EM, Memon SR, Ibrahim AL, Al Gizawi A, Ghali AM. Nephrectomy in Adults: Asir Hospital Experience. Saudi J Kidney Dis Transpl [serial online] 1997 [cited 2023 Feb 5 ];8:423-427
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=1997;volume=8;issue=4;spage=423;epage=427;aulast=El;type=0