medigraphic.com
Organo Oficial de la Sociedad Mexicana de Urología

2025, Number 5

Next >>

Rev Mex Urol 2025; 85 (5)

Epidemiological characteristics of hospital care for urolithiasis in a South American country

Pereyra W, Ballena J, Failoc-Rojas VE, Vásquez B, Zavala R, Rivadeneyra J, Carcasi E, Ramos J, Villegas F, Mamani R, Ferrer D, Ríos E, Zambrano W, Villar W, Murrieta G, Paz M, Garnique E

Language: Spanish
References: 17
Page: 1-10
PDF size: 767.47 Kb.


ABSTRACT

Introduction: Urolithiasis is a common disease that has become a chronic illness with great impact on the quality of life of the sufferer. The aim of this study was to describe the epidemiological characteristics of patients hospitalized for urolithiasis in Peru.
Material and methods: A cross-sectional analysis of data from 9 hospitals between 2017- 2021 was performed, including patients of all ages with diagnoses of renal calculi, ureter, lower urinary calculi and renal colic. Urological attendances were analyzed by frequencies, age and sex, using the Chi-square test to test hypotheses.
Results: 34,928 patients were included, predominantly female (ratio 4:6). Renal and ureter calculi was the most frequent diagnosis (76.1 %), followed by renal colic (20.1 %). In women, renal calculi and ureter (55.2 %) and renal colic (54.4 %) were more prevalent. In men over 60 years of age, lower urinary calculi were more prevalent (343 cases; 20.37 %) than in women (145 cases; 8.61 %), with significant differences (p‹0.001). In the 30-59 years age group with renal colic, women were more prevalent (3131 cases; 35.7 %) than men (2938 cases; 33.5 %), also statistically significant (p‹0.001).
Conclusion: This study highlights the high burden of urolithiasis in women and the variability in patterns according to age and type of diagnosis. The findings provide valuable information on the urological epidemiology in Peru, useful for optimizing care and prevention of this disease in different regions of the country.


REFERENCES

  1. García Perdomo HA, Benavides PA, PosadaEspaña P. Fisiopatología asociada a la formaciónde cálculos en la vía urinaria. Urologíacolombiana. 2015;24(2): 6.

  2. Vásquez-Sullca RR, Ballena-Castillo JL, Pereyra-Velásquez W. La urolitiasis y opciones detratamiento en un país de latinoamérica. Revistadel Cuerpo Médico Hospital Nacional AlmanzorAguinaga Asenjo. 2021;14(2): 246–247.

  3. Qiao Y, Xiao H, Ye Z, Yu Y, Fan X, Wang O, etal. Prevalence of Urolithiasis in a China Hospital:A Cross-Sectional Study. Archivos EspanolesDe Urologia. 2023;76(1): 90–97. https://doi.org/10.56434/j.arch.esp.urol.20237601.9.

  4. Fisang C, Anding R, Müller SC, Latz S, LaubeN. Urolithiasis--an interdisciplinary diagnostic,therapeutic and secondary preventivechallenge. Deutsches Arzteblatt International.2015;112(6): 83–91. https://doi.org/10.3238/arztebl.2015.0083.

  5. Jung H, Pless MS, Osther PJS. Anatomicvariations and stone formation. Current Opinionin Urology. 2018;28(5): 420–427. https://doi.org/10.1097/MOU.0000000000000519.

  6. Fontenelle LF, Sarti TD. Kidney Stones:Treatment and Prevention. American FamilyPhysician. 2019;99(8): 490–496.

  7. European Association of Urology 7. EAUGuidelines on Urologica. 2018.

  8. Assimos D, Krambeck A, Miller NL, MongaM, Murad MH, Nelson CP, et al. SurgicalManagement of Stones: American UrologicalAssociation/Endourological Society Guideline,PART I. The Journal of Urology. 2016;196(4):1153–1160. https://doi.org/10.1016/j.juro.2016.05.090.

  9. Manzo BO, Bertacchi M, Lozada E, RasguidoA, Aleman E, Cabrera M, et al. Práctica actualde la ureteronefroscopia flexible con láser enAmérica Latina para el tratamiento de la litiasisrenal. Actas Urológicas Españolas. 2016;40(4):229–236. https://doi.org/10.1016/j.acuro.2015.11.002.

  10. Ortegón-Gallareta R, Aguilar-Moreno J,Álvarez-Baeza A, Méndez-Domínguez N,Pech-Cervantes PI. Perfil epidemiológico de lashospitalizaciones por urolitiasis en el Estado deYucatán, México. Revista Mexicana de Urología.2019;79(5): 1–11. https://doi.org/10.48193/revistamexicanadeurologa.v79i5.517.

  11. Taype Huamaní W, Ayala García R, RodriguezGonzales R, Amado Tineo J. Características yevolución de pacientes con litiasis urinaria enemergencia de un hospital terciario. Rev. Fac.Med. Hum. 2020; 608–613.

  12. Cerron T, Enrique C. Caracteristicas Clinicas,Métodos Diagnósticos y Manejo Quirúrgico de laurolitiasis en pacientes atendidos en el servicio deUrología del hospital regional Honorio DelgadoEspinoza en el periodo 2013 al 2017. UniversidadNacional de San Agustín; 2018. https://alicia.concytec.gob.pe/vufind/Record/UNSA_bc4c2760ae417ca875a9651e6872ed62 [Accessed17th December 2025].

  13. Rodríguez M del MR, Cano AG, Coronado MR,Mendiguchía LJ. Litiasis urinaria: epidemiologíay clasificación del cálculo urinario. ActaBioquímica Clínica Latinoamericana. 2018;52(1):15–21.

  14. Aragón-Tovar AR, Hernández-Farías M.Análisis cristalográfico de 475 cálculos de víasurinarias en el Hospital San José, Tec Salud, enMonterrey, N.L. Revista Mexicana de Urología.2013;73(3): 130–135.

  15. Gilberto González V. Litiasis renal: estudio ymanejo endocrinológico. Revista Médica ClínicaLas Condes. 2013;24(5): 798–803. https://doi.org/10.1016/S0716-8640(13)70226-8.

  16. Scales CD, Curtis LH, Norris RD, SpringhartWP, Sur RL, Schulman KA, et al. Changinggender prevalence of stone disease. The Journalof Urology. 2007;177(3): 979–982. https://doi.org/10.1016/j.juro.2006.10.069.

  17. Özsoy M, Somani B, Seitz C, Veser J, KallidonisP. Sex differences in the therapy of kidney andureteral stones. Current Opinion in Urology.2019;29(3): 261–266. https://doi.org/10.1097/MOU.0000000000000604.




2020     |     www.medigraphic.com