title: Calculus anuria and its remedy.
abstract: BACKGROUND
  Urinary lithiases have been a major urological problem. The objective was to determine the out come of treatment for patients with calculus anuria.
  
  
  METHODS
  A descriptive study was conducted at Department of Urology Chandka Medical College Hospital, Larkana from March 2007 to April 2009. All patients with a diagnosis of calculus anuria of all ages and either sex were included in the study. Detailed history, physical examination and examination of genitourinary tract was performed. Investigations included complete blood examination, blood urea, serum creatinine, ultrasonography of KUB area, and X-Ray KUB.
  
  
  RESULTS
  Among the 66 patients the cause of anuria was bilateral obstruction by the calculi in 46 cases, unilateral obstruction with small/absent/nephrectomised contralateral kidney in 20 cases. In most of the cases, ureteric catheterisation was done to relieve the obstruction. Five deaths were observed, despite emergency urinary diversion and appropriate treatment.
  
  
  CONCLUSIONS
  Calculus anuria is a urological emergency. Prompt and early intervention can save the life of patient and prevent to develop chronic renal failure.
authors.affiliation: Department of Urology, Chandka Medical College, Larkana. Pakistan. amanullah7860@yahoo.com
authors.lastname: Amanullah
authors.forename: Ghayyur
authors.initials: G
authors.lastname: Khan
authors.forename: Shanti
authors.initials: S
authors.lastname: Lal
authors.forename: Muhammad Iqbal
authors.initials: MI
authors.lastname: Soomro
authors.forename: Malik Hussain
authors.initials: MH
authors.lastname: Jalbani
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001002:Anuria / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D004630:Emergencies; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome; D052878:Urolithiasis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*