Clinical Profile and Diagnostic Evaluation of Patients with Ureterolithiasis

Background: Despite advances in diagnostic imaging, there remains limited data on the detailed clinical characteristics and diagnostic profiles of patients presenting with ureterolithiasis in many regions, including Bangladesh. Therefore, this study aims to evaluate the clinical characteristics and diagnostic findings in patients presenting with ureterolithiasis. Aim of the study: The aim of the study was to assess the clinical characteristics and evaluate diagnostic findings in patients presenting with ureterolithiasis. Methods: This cross-sectional descriptive study was conducted at the Departments of Surgery and Urology, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh, from December 2013 to May 2014. Fifty-eight patients over 12 years with ureterolithiasis were enrolled using consecutive convenient sampling. Clinical and diagnostic data were collected using a validated tool after standard investigations. Data were analyzed with SPSS 21.0. Results: Among 58 ureterolithiasis patients, most were aged 31–40 years (36.2%) and male (62.1%). All reported abdominal pain; 84.5% had radiation of pain, 39.6% nausea/vomiting, 36.2% haematuria, 27.6% burning micturition, and 22.4% fever. Imaging showed radioopaque calculi on X-ray in 93.1%, hydronephrotic changes on USG and IVU in 89.7%. Right-sided stones predominated (60.3%), mainly in the lower third of the ureter (58.6%). Most stones (89.7%) measured 1.0–2.0 cm. Conclusion: Ureterolithiasis predominantly affects middle-aged males, presenting with characteristic symptoms and identifiable radiological findings that aid timely diagnosis and management.