A study regarding Citrus juices effect (lemonade & orange juices only) in urolithiasis when compared to plain drinking water

Background: urolithiasis is a common disorder with the estimated prevalence of up to 15% in lifetime. the recurrence rate without treatment for renal stones is 10% at 1 yr,35% at 5 yrs and 50% at 10 yrs. aim: to determine citrus juices effect (lemonade & orange juices) in urolithiasis when compared with plain drinking water. study design: experimental study-randomized controlled trial setting: outdoor department of urology,nishtar hospital,multan duration of study: this study was done for a period of three months observation after intervention from 1 december 2013 to 28 february 2014 sample size: 99 patients were included in our study,each group consisting of 33 patients respectively i.e. (lemonade,orange juice and plain water group). sampling technique: non-probability purpose sampling results: in our study 99 patients were divided in three equal groups of 33 patients each. mean age (±s.e.m.) of patients was 39.20±4.53 in total patients included in study while it was 39.27±3.84 in group a,38.57±4.51 in group b and 39.75±5.20 in group c respectively. efficacy with respect to (increased urinary ph,increased urinary volume and increased urinary citrate),decreased urinary crystals and decreased size/absent stone was 69.69%,69.69% and 63.63% respectively in group a(p-value 0.019) while 60.60%,69.69% and 57.57% in group b(p-value 0.121) respectively while 36.36%,48.48% and 42.42% in group c(p-value 0.204). there was no significant difference regarding efficacy in group b & c while significant difference in group a (p-value 0.019) i.e. lemonade group. conclusion: the citrus juices consumption (lemononade) is superior to orange juice & plain drinking water in reducing urolithiasis.