Mohammad Rafique Zaki, Abbas Ghazanfar, Khumair Asif.
Nephrectomy for non-traumatic benign renal diseases: its indications and outcomes in a developing country.
Pak J Med Health Sci Jan ;6(1):216-9.

Objective: To find out indications and outcomes of nephrectomy for non-traumatic benign renal disease in a developing country. Design: Retrospective observational study. Place and duration of study: Department of Urology Mayo Hospital Lahore for the from January 1996 to December 2010 Patients and methods: All patients who had nephrectomy performed for benign renal disease were included in the study. The affect of individual co-morbid factors on patient’s outcome were recorded. Student t test and Cox regression test were used to observe individual or combined affects of co-morbid factors on outcome. P value of less than 0.05 was considered significant. SPSS statistical software programme was used statistical analysis. Results: Indications for the nephrectomy in benign renal diseases varied from pain full non-functioning kidney secondary to stone disease (n=99) with good functioning contralateral kidney, symptomatic polycystic renal disease (n=24), chronic pyelonephritis with recurrent episodes of pain, haematuria and infections (n=21), resistant tuberculosis pyelonephritis (n=21), renal cartico-medullary abscess with pyonephrosis (n=15) and renal tuberculosis with fistula formation (n=09). Conclusion: The number of nephrectomies performed for non-traumatic kidneys disease is not significantly decreasing. So there is dire urgency to provide better health services at a basic level and increasing awareness by education.

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