EPIDEMIOLOGY OF HOSPITALIZATIONS FOR UROLITHIASIS IN THE TURKESTAN REGION FROM 2014 TO 2023

Abstract

This study presents an analysis of the epidemiological characteristics of urolithiasis in the Turkestan region based on data from 36,992 hospitalizations recorded between 2014 and 2023. The analysis was conducted using the national electronic inpatient registry and included an assessment of the diagnostic structure according to ICD-10, as well as patient distribution by age, sex, place of residence, and mode of admission. The leading causes of hospitalization were chronic obstructive pyelonephritis (N11.1) and stonerelated hydronephrosis (N13.2). The majority of cases occurred in patients aged over 50 years, while inflammatory forms of the disease predominated in pediatric populations. Marked territorial differences were identified: urban residents more frequently presented with obstructive forms, including hydronephrosis and ureteral stones (N20.1), whereas rural populations showed a higher prevalence of inflammatory and mixed clinical presentations, including lower urinary tract stones (N21.8, N21.9). Emergency admissions were mainly associated with acute and complicated conditions, particularly hydronephrosis, ureteral calculi, and renal colic. These findings indicate a substantial burden of urolithiasis on the regional healthcare system and highlight the need for differentiated prevention and early detection strategies that account for territorial and age-specific patterns.