Characteristics of Urinary Tract Stone Patients in Central Sulawesi, 2020–2024
DOI:
https://doi.org/10.55606/ijhs.v5i3.6283Keywords:
Epidemiology, Patient Characteristics, Retrospective Study, Urolithiasis, URSAbstract
Urolithiasis is a common urologic disorder characterized by stone formation along the urinary tract, predominantly affecting adult males and showing a high recurrence rate. Despite numerous global studies, data on the Central Sulawesi population remain limited, hindering the development of local management strategies. This study aims to describe the epidemiological and clinical characteristics of patients with urinary tract stones in Central Sulawesi from 2020 to 2024. A retrospective cross-sectional study was conducted using secondary data from electronic medical records and surgical archives of referral hospitals. A total of 4,078 patients diagnosed with urinary tract stones were analyzed descriptively based on age, sex, diagnosis, and treatment modalities. The mean age was 47.77 ± 14.80 years, and males accounted for 53.4% of cases. Ureteral stones were the most frequent diagnosis (48.4%), followed by renal stones (40.4%) and bladder stones (11.0%). In terms of management, ureterorenoscopy (URS) with DJ stent insertion was most common (20.15%), followed by extracorporeal shock wave lithotripsy (ESWL) (10.15%), while 47.29% were managed with medical expulsive therapy (MET). These findings indicate that urolithiasis in Central Sulawesi mainly affects males in productive age, with ureteral stones as the leading type. Minimally invasive procedures, especially URS and ESWL, dominate clinical practice, highlighting the need for strengthened prevention, early detection, and urological service infrastructure.
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References
Alathel, A., Alshamrani, M., Alharthi, M., Almatrafi, M., & Alyazidi, A. (2024). Exploring the incidence and characteristics of urolithiasis in the central region of Saudi Arabia. Urology Annals, 16(3), 233–240. https://doi.org/10.4103/UA.UA_9_23
Allam, E. A. H. (2024). Urolithiasis unveiled: Pathophysiology, stone dynamics, types, and inhibitory mechanisms: A review. African Journal of Urology, 30, 34. https://doi.org/10.1186/s12301-024-00436-z
Atmoko, W., Darmawan, E., & Winarsanto, H. (2023). Clinical risk factors of recurrent kidney stone disease: A cohort retrospective study in a tertiary referral hospital. Jurnal Kedokteran Brawijaya, 34(2), 90–98. https://doi.org/10.21776/ub.jkb.2023.034.02.2
Cheng, W. Y., & Tseng, J. S. (2024). Urinary stone analysis and clinical characteristics of 496 patients in Taiwan. Scientific Reports, 14, 14115. https://doi.org/10.1038/s41598-024-64869-w
GBD 2021 Urolithiasis Collaborators. (2024). The global, regional, and national burden of urolithiasis in 204 countries and territories, 2000–2021: A systematic analysis for the Global Burden of Disease Study 2021. EClinicalMedicine, 78, 102924. https://doi.org/10.1016/j.eclinm.2024.102924
Khanam, A., Singh, G., Narwal, S., & Balram. (2024). Treatment and prevention of recurrent urolithiasis: Insights on molecular mechanism of occurrence and medical care. Food Chemistry Advances, 5, 100751. https://doi.org/10.1016/j.focha.2024.100751
Latuconsina, Y., Lantemona, R. A., Mappiwali, A., & Pariputra, Y. (2024). The prevalence and characteristic of urinary stone disease in general hospital of the peripheral area. Brawijaya Journal of Urology, 5(1), 13–16. https://doi.org/10.11594/bjurology.2024.005.01.4
Mao, C., Wu, Y., Hu, X., & Zhang, J. (2025). Identifying kidney stone risk factors through patient experiences: A digital health approach. Journal of Medical Internet Research, 27, e66365. https://doi.org/10.2196/66365
Mutomba, W. F., Symeonidis, E. N., Mykoniatis, I., Tzelves, L., Tsaturyan, A., Juliebo-Jones, P., Tokas, T., & Sountoulides, P. (2025). Phytotherapy in urolithiasis: An updated overview of current knowledge. Journal of Clinical Medicine, 14(9), 2885. https://doi.org/10.3390/jcm14092885
Razi, A., Ghiaei, A., Dolatabadi, F. K., & Haghighi, R. (2024). Unraveling the association of bacteria and urinary stones in patients with urolithiasis: An updated review article. Frontiers in Medicine, 11, 1401808. https://doi.org/10.3389/fmed.2024.1401808
Shastri, S., Patel, J., Sambandam, K. K., & Lederer, E. D. (2023). Kidney stone pathophysiology, evaluation and management: Core curriculum 2023. American Journal of Kidney Diseases, 82(5), 617–634. https://doi.org/10.1053/j.ajkd.2023.03.017
Sukarni, M. H. (2024). Karakteristik pasien urologi RSUD Undata Provinsi Sulawesi Tengah tahun 2021–2023. Jurnal Aafiyah Health Research, 5(1), 248–253. https://doi.org/10.55025/jahr.v5i1.789
Wang, Y., Liu, C., & Zhang, L. (2024). Analysis of components and related risk factors of urinary stones: A retrospective study. Scientific Reports, 14, 28357. https://doi.org/10.1038/s41598-024-28357-1
Yang, B., Wang, R., Liu, H., & Xu, Z. (2024). Characteristics of urinary stone composition: A retrospective study in China. BMJ Open, 14(5), e079431. https://doi.org/10.1136/bmjopen-2023-079431
Zhang, W., Shen, R., Shang, Z., Wang, Z., Yu, Y., Zhang, K., Yang, Y., & Pang, M. (2024). Incidence of and risk factors for urinary stones among patients with spinal cord injury: A systematic review with meta-analysis. European Urology Open Science, 70, 79–85. https://doi.org/10.1016/j.euros.2024.10.003
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