| Titre |
Symptomatic Urinary Lithiasis: Epidemiology and Management at Urology Department of University Hospital of Cotonou |
| Auteurs |
HOUNNASSO PRINCE PASCAL [1],
AVAKOUDJO JOSUÉ DEJINNIN GEORGES [2],
PARE A. [3],
KIRAKOYA BRAHIMA [4],
OUATTARA A. [5],
AGOUNKPE M. M. [6],
NATCHAGANDE GILLES [7],
TORE SANNI R. [8],
ABUBAKAR Babagana Mustapha3, [9],
VODOUNOU A. [10],
|
| Journal: |
Open Journal of urology |
| Catégorie Journal: |
Internationale |
| Impact factor: |
0 |
| Volume Journal: |
5 |
| DOI: |
/10.4236/oju.2015.52002 |
| Resume |
Purpose: To study the epidemiology and treatment modalities of urolithiasis at Urology Department
of University Hospital of Cotonou. Materials and Methods: It was a retrospective and descriptive
study over a 10 years period ranging from January 1st, 2004 to December 31st, 2013.
One hundred and two patients who were hospitalized for symptomatic urolithiasis at the Urology
Department of University Hospital of Cotonou were enrolled. Results: Hospital incidence of urolithiasis
was 3.7%. Patients mean age was 39.6 years (extremes: 10 years to 73 years). Male to female
ratio was 2.2. The main reason for consultation was renal colic for 81 patients (79.4%). Average
duration of symptoms at presentation was 5 months (range: 1 day to 10 years). A total of
173 stones were identified with an average size of 12 mm (range: 1 mm to 95 mm). Calyceal stones
were seen in 32.9% of cases, renal pelvis stones in 21.4% of cases, ureteral stones in 34.1% and
bladder stones in 11.5% of cases. Open surgery was the main treatment for stones that could not
be managed medically. 50.8% of patients underwent surgery with extraction of 116 stones. This
represented 67.1% of all stones. 9 patients (8.8%) had expelled their stone during urination. The
postoperative course was uneventful in 77.5% of cases. Conclusion: Modern treatment options for
urolithiasis remain rudimentary in our health facilities. Open surgery is still the main stay of
treatment in our countries with limited resources. |
| Mots clés |
Urolithiasis, Renal Calculi, Bladder Calculi, Epidemiology, Open Surgery |
| Pages |
7 - 12 |
| Fichier |
 (PDF) |