Épidémiologie d’une cohorte de 450 lithiases urinaires au CHU Yalgado Ouédraogo de Ouagadougou (Burkina Faso)

Kaboré, Fulgence; Kambou, T.; Zango, B.; Ouattara, Adama; Simporé, Mohamed; Lougue-Sorgho, C. L.; Lechevalier, E.; Karsenty, G.

doi:10.1016/j.purol.2013.04.014

Cited by 20 publications

(20 citation statements)

References 9 publications

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“…In our study, most patients (68.7%) are within the age range of 15 to 45 years. Our data are consistent with the results of Kabore et al [5] in Burkina Fasoand Daudon et al [2] in France. Male gender is more affected in this study with male to female [4] and Odzébé et al [7] found male to female ratio of 3.3 and 3.2 respectively.…”

Section: Discussionsupporting

confidence: 94%

Symptomatic Urinary Lithiasis: Epidemiology and Management at Urology Department of University Hospital of Cotonou

Hounnasso¹,

Avakoudjo²,

Paré³

et al. 2015

OJU

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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.

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Section: Discussionsupporting

confidence: 94%

Symptomatic Urinary Lithiasis: Epidemiology and Management at Urology Department of University Hospital of Cotonou

Hounnasso¹,

Avakoudjo²,

Paré³

et al. 2015

OJU

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“…The average age of patients in our series was 37.74 ± 17 years. Kaboré in Burkina regained a median age of 35 years [5]. This result was similar to recent literature data presenting urinary lithiasic disease as a condition of the young subject between the third and fourth decades [1].…”

Section: Discussionsupporting

confidence: 90%

Holmium Laser Ureteroscopy in the Treatment of the Upper Urinary Tract Stones: Concerning 54 Cases in the Surgical Department of the Saint Camille Hospital of Ouagadougou (Burkina Faso)

Yameogo¹,

Ky²,

Ouattara³

et al. 2020

OJU

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The treatment of urinary stones uses a varied therapeutic arsenal. Nowadays the mini-invasive techniques are the most used. We report our first experience on the results of flexible and semi-rigid ureteroscopy in the treatment of the upper urinary tract stones. Materials and Methods: A 20-month prospective study on flexible laser ureteroscopy was conducted at the Saint Camille Hospital of Ouagadougou. The inclusion criteria were for patients who had given informed consent and the presence of an unilateral obstructive upper urinary tract stone with an indication of surgical management. Results: 54 patients were treated with Holmium laser photo vaporization between January 2018 and August 2019. The average age of patients was 37.74 ± 17 years (11-83 years). The men were predominant at 55.56%, or a sex-ratio of 1.25. The average size of stones of 17.55 mm ± 4.16 mm (11 mm to 25 mm) with pyelic, ureteral and calyceal localization in respectively 42.6%, 33.3% and 24.1% of cases. The average duration of the interventions was 77.92 ± 43.57 minutes (11 to 180 minutes). We used drainage in 90.91% of the cases. The average duration of hospitalization was 1.2 ± 0.73 days with extremes ranging from one day to 6 days. The vaporization without residual fragment which is a success was 78.46%. Conclusion: Laser ureteroscopy is a newly used method at the Saint Camille hospital. The achievement of good results and its low morbidity encourage us to promote its extension and its use in sub-Saharan African hospitals.

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“…To these predisposing factors for stone disease in the subject male, must be added the greater length of the male urethra exposing the trauma. Several African studies incriminate bilharzia in lithogenesis [1] [8]- [10]. Urinary schistosomiasis is a parasitic disease that is endemic in Central Africa, particularly in Chad.…”

Section: Discussionmentioning

confidence: 99%

“…Urolithiasis is the presence of one or more stony concretions located at any level of a segment of the urinary tract (calyx, renal pelvis, ureter, bladder and urethra). It is also a pathology as old as the world, readily recurrent [1] [2]. The examination of Egyptian mummies by British archaeologists in 1901 on the burial site of El Amra, helped highlight bladder and kidney stones dating from antiquity [3].…”

Section: Introductionmentioning

confidence: 99%

Urolithiasis: Diagnostic and Therapeutic Aspects in Urology Department of N’Djamena in Chad

Rimtebaye¹,

Sillong²,

Tashkand³

et al. 2015

OJU

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Introduction: To study the clinical, paraclinical, diagnostic aspects and manage patients with urolithiasis according to the available technical facilities in urology department of N'Djamena in Chad. Urolithiasis is defined as the presence of one or more stony concretions located at any level of a segment of the urinary tract: calyx, renal pelvis, ureters, bladder and urethra. Materials and Methods: This was a descriptive type of a prospective study over a period of 4 years, from January 2008 to December 2011, involving 233 patients with urolithiasis treated in the urology department. Clinical and paraclinical examinations were the basis for the selection of patients. Informed consent of patient or their parents (for minors) was obtained for the anonymous use of records and photographs for scientific aims. Results: Urolithiasis represented 5.72% (233/4072) of all urological pathologies. Male dominance was significant with a sex ratio of 4.5/1. The age group of 0 -10 years was the most affected with a staff of 67 (28.75%). The clinic was dominated by dysuria (44.63%), renal colic (33.91%) and hematuria (9.01%). The main anatomical location was bladder (62.23%). The management was essentially medical and surgical. We recorded 7 cases of death or post-interventional hospital mortality rate of 3%. Conclusion: Urolithiasis is a real public health problem in Chad. Due to the inadequacy of the technical platform, the management was based on the open surgery. Etiological research was impossible by lack of technical laboratory platform.

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Épidémiologie d’une cohorte de 450 lithiases urinaires au CHU Yalgado Ouédraogo de Ouagadougou (Burkina Faso)

Cited by 20 publications

References 9 publications

Symptomatic Urinary Lithiasis: Epidemiology and Management at Urology Department of University Hospital of Cotonou

Symptomatic Urinary Lithiasis: Epidemiology and Management at Urology Department of University Hospital of Cotonou

Holmium Laser Ureteroscopy in the Treatment of the Upper Urinary Tract Stones: Concerning 54 Cases in the Surgical Department of the Saint Camille Hospital of Ouagadougou (Burkina Faso)

Urolithiasis: Diagnostic and Therapeutic Aspects in Urology Department of N’Djamena in Chad

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