The evaluation of patients with renal colic due to urinary tract stones in emergency department

Umut Gülaçtı; Hacı Polat; Uğur Lök; İrfan Aydın

doi:10.5578/GMJ.27961

Authors

Umut Gülaçtı Department of Emergency Medicine, Faculty of Medicine, Adiyaman University, Adiyaman
Hacı Polat Department of Urology, Faculty of Medicine, Adiyaman University, Adiyaman
Uğur Lök Department of Emergency Medicine, Faculty of Medicine, Adiyaman University, Adiyaman
İrfan Aydın Department of Urology, Faculty of Medicine, Adiyaman University, Adiyaman

DOI:

https://doi.org/10.5578/GMJ.27961

Keywords:

Renal colic, urinary tract stones, seasonal distribution, nonsteroidal anti-infl ammatory agents, hematuria, intravenous hydration

Abstract

Introduction: Renal colic is one of the most frequent reasons for admission to emergency department. The aim of this study was to evaluate the epidemiology, results of urinalysis used in the diagnostic process and treatment of patients admitted to Emergency Department with renal colic due to urinary tract stone disease (UTSRC).
Materials and Methods: Between June 2014-June 2015, the data of 362 patients admitted for renal colic to Adiyaman Training and Research Hospital Emergency Department were examined, retrospectively. Ninety-two patients diagnosed with renal colic due to urinary tract stone disease were included in the study.
Results: Diagnosis of UTSRC was higher in male than females (p= 0.0037). Admission for UTSRC were more frequent in summer season (p= 0.000) and the most frequent admissions were in June and July (p= 0.002). There was no hematuria in 12% of urinalysis in patients with UTSRC. In Emergency Department for renal colic pain, NSAIDs (%92.3) were used the most often in analgesics (p= 0.000).
Conclusion: Renal colic has increased in the hot summer months when there is too much liquid loss. The absence of hematuria in urinalysis does not exclude the diagnosis of UTSRC. In Emergency Department for renal colic pain, NSAIDs which because they have less side effect potential from the narcotic analgesics were much more preferred.

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