Objective: In this study, the incidence of stones, the conditions that can be confused with urolithiasis, diagnostic methods, locali-zation and size of the stone and the preferred treatment methods in patients with flank pain were evaluated.
Material and Methods: 377 patients were admitted to the emergency department with flank pain over a four-month period. The fre-quency of urinary tract stone disease, gender, age, occupation, body mass index, laboratory findings, the preferred diagnostic methods in patients with flank pain, the localization and size of the stones and other pathologies that is seen in patients with flank pain were evaluated.
Results: 71.4% of the patients who were ad-mitted to the emergency room with flank pain had urinary tract stone disease. Men with flank pain had higher rate of urinary stone disease than women. Patients suffering from one-sided costovertebral point tenderness (CVPT) had higher rate of urinary stone disease than tho-se who suffered from two-sided costovertebral point tenderness.
Conclusion: The majority of patients ad-mitted to the emergency department with flank pain were diagnosed with urinary system stones. Ultrasonography should be preferred in the first examination in the emergency de-partment because it is a cheap and safe method which is also easily accessible and non-invasive.
Key Words: Urinary tract stone, ultraso-nography, plain urinary system graph, non-contrast-enhanced computer tomography.
Abstract
Objective: In this study, the incidence of stones, the conditions that can be confused with urolithiasis, diagnostic methods, locali-zation and size of the stone and the preferred treatment methods in patients with flank pain were evaluated.
Material and Methods: 377 patients were admitted to the emergency department with flank pain over a four-month period. The fre-quency of urinary tract stone disease, gender, age, occupation, body mass index, laboratory findings, the preferred diagnostic methods in patients with flank pain, the localization and size of the stones and other pathologies that is seen in patients with flank pain were evaluated.
Results: 71.4% of the patients who were ad-mitted to the emergency room with flank pain had urinary tract stone disease. Men with flank pain had higher rate of urinary stone disease than women. Patients suffering from one-sided costovertebral point tenderness (CVPT) had higher rate of urinary stone disease than tho-se who suffered from two-sided costovertebral point tenderness.
Conclusion: The majority of patients ad-mitted to the emergency department with flank pain were diagnosed with urinary system stones. Ultrasonography should be preferred in the first examination in the emergency de-partment because it is a cheap and safe method which is also easily accessible and non-invasive.
Key Words: Urinary tract stone, ultraso-nography, plain urinary system graph, non-contrast-enhanced computer tomography.