Frequency of Factors Leading to the Development of Urolithiasis at SIUT, Karachi

Authors

  • Syeda Zoha Abbas Sindh Institute of Urology and Transplantation Karachi, Pakistan
  • Syed Arslan Shehzad Shah Sindh Institute of Urology and Transplantation Karachi, Pakistan
  • Harris Hassan Qureshi Sindh Institute of Urology and Transplantation Karachi, Pakistan
  • Farzeen Zehra Sindh Institute of Urology and Transplantation Karachi, Pakistan
  • Naveed Maher Sindh Institute of Urology and Transplantation Karachi, Pakistan
  • Manzoor Hussain Sindh Institute of Urology and Transplantation Karachi, Pakistan
  • Syed Adibul Hassan Rizvi Sindh Institute of Urology and Transplantation Karachi, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v6i10.2049

Keywords:

Urolithiasis, Risk Factors, Dehydration, Obesity

Abstract

Urolithiasis is a common urological condition worldwide and a significant cause of morbidity, especially in regions with hot climates and dietary variations such as Pakistan. Understanding the contributing factors is essential for prevention and management. Objective: To determine the frequency of factors leading to the development of urolithiasis at SIUT, Karachi. Methodology: We conducted this study on 385 participants aged 20-70 years presenting with acute renal colic and a confirmed ultrasonographic diagnosis of urolithiasis. Data on predefined demographic and risk factors were collected. Results: The mean age of the 385 participants was 49.49 ± 14.09 years. A majority were male (62.3%), and the most prevalent modifiable risk factor was low water intake (65.7%), which was followed by obesity (51.9%) and aerated beverage consumption (56.4%). Comorbid risk conditions were highly prevalent, including hypertension (37.9%), anemia (48.8%), and diabetes mellitus (28.3%). A strong family history of urolithiasis was reported in 47.5% of the cohort. Other significant factors included an age greater than 50 years (53.8%) and smoking (24.9%). Conclusion: The risk factors leading to the development of urolithiasis were the high frequency of male sex and increasing age, with modifiable risks such as low water intake and comorbid metabolic conditions.

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References

Moe OW. Kidney stones: pathophysiology and medical management. Lancet. 2006;367(9507):333–44. https://doi.org/10.1016/S0140-6736(06)68071-9

Khan AS, Rai ME, Gandapur, Pervaiz A, Shah AH, Hussain AA, et al. Epidemiological risk factors and composition of urinary stones in Riyadh, Saudi Arabia. J Ayub Med Coll Abbottabad. 2004;16(3):56–8.

Trinchieri A. Epidemiology of urolithiasis: an update. Clin Cases Miner Bone Metab. 2008;5(2):101–6.

Prezioso D, Strazzullo P, Lotti T, Bianchi G, Borghi L, Caione P, et al. Dietary treatment of urinary risk factors for renal stone formation: a review of CLU Working Group. Arch Ital Urol Androl. 2015;87(2):105–20. https://doi.org/10.4081/aiua.2015.2.105

Aggarwal KP, Narula S, Kakkar M, Tandon C. Nephrolithiasis: molecular mechanism of renal stone formation and the critical role played by modulators. Biomed Res Int. 2013;2013:292953. https://doi.org/10.1155/2013/292953

Cunningham P, Noble H, Al-Modhefer AK, Walsh I. Kidney stones: pathophysiology, Diagnosis and management. Br J Nurs. 2016;25(20):1112–6. https://doi.org/10.12968/bjon.2016.25.20.1112

Curhan GC. Epidemiology of stone disease. Urol Clin North Am. 2007;34(3):287–93. https://doi.org/10.1016/j.ucl.2007.04.003

Strope SA, Wolf JS Jr, Hollenbeck BK. Changes in the gender distribution of urinary stone disease. Urology. 2010;75(3):543–6. https://doi.org/10.1016/j.urology.2009.08.007

Trinchieri A, Croppi E, Montanari E. Obesity and urolithiasis: evidence of regional influences. Urolithiasis. 2017;45(3):271–8. https://doi.org/10.1007/s00240-016-0908-3

Daudon M, Traxer O, Conort P, Lacour B, Jungers P. Type 2 diabetes increases the risk for uric acid stones. J Am Soc Nephrol. 2006;17(7):2026–33. https://doi.org/10.1681/ASN.2006030262

Kannan S, Kumar BV, Sharmilla SS, Sreelekah B. Assess the risk factors of urolithiasis among patients attending OPD at Sri Ramachandra Hospital, South India, Chennai. Int J Curr Res. 2019;11(6):4429–32. https://doi.org/10.24941/ijcr.35303.06.2019

Wróbel G, Kuder T. The role of selected environmental factors and the type of work performed on the development of urolithiasis: a review paper. Int J Occup Med Environ Health. 2019;32(6):761–75. https://doi.org/10.13075/ijomeh.1896.01491

Bokhari A, Alghamdi AAM, Khushayl AMA, Alaklabi SNA, Albarrak SKA, Aldarwish HA. Prevalence and risk factors for renal stones among the Bisha population in Saudi Arabia. Cureus. 2023;15(6):e40090. https://doi.org/10.7759/cureus.40090

Paluchamy T, Rani ND, Bhuvaneswari G, Tamilselvi S. Risk factors of urolithiasis: a hospital-based retrospective study. J Family Med Prim Care. 2024;13(9):3902–5. https://doi.org/10.4103/jfmpc.jfmpc_353_24

Bokhari AA, Aldarwish HA, Alsanea SA, Al-Tufair MA, Alghasian SA, Alghasab AA, et al. Prevalence and risk factors of urolithiasis among the population of Hail, Saudi Arabia. Cureus. 2022;14(7):e26983. https://doi.org/10.7759/cureus.26983

Taylor EN, Stampfer MJ, Curhan GC. Obesity, weight gain, and the risk of kidney stones. JAMA. 2005;293(4):455–62. https://doi.org/10.1001/jama.293.4.455

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Published

2025-10-31

How to Cite

Abbas, S. Z. ., Shehzad Shah, S. A. ., Qureshi, H. H. ., Zehra, F. ., Maher, N. ., Hussain, M. ., & Hassan Rizvi, S. A. . (2025). Frequency of Factors Leading to the Development of Urolithiasis at SIUT, Karachi. Biological and Clinical Sciences Research Journal, 6(10), 20–23. https://doi.org/10.54112/bcsrj.v6i10.2049

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Original Research Articles