Uncovering the Burden of Urologic Disease: Admissions Patterns at the Main Teaching Hospital of Ethiopia

Feldhaus, Isabelle; Temesgen, Gobezie; Laytin, Adam D.; Odisho, Anobel Y.; Beyene, Asfaw

doi:10.4314/ecajs.v21i3.13

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…Many researchers from India, China and Kenya found that stone mostly lye in the upper tract so as in our study [23]. Another study conducted in Nigeria showed contradictory results that 55.7% stones [24] and 75.6% [25] form in the lower urinary tract.…”

Section: Discussionsupporting

confidence: 43%

Study on Uroliths Composition in Tertiary Care Hospital of Pakistan

Rehman¹,

Khan²,

Ahmad³

et al. 2021

PJMHS

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Background: Identification of risk factors for urolith stones formed in the urinary tract could help in preventing the recurrence. Urolith stones analysis utilized modern technology which is unfortunately not done in Pakistan on a routine basis. Development of renal failure may occur due to complications and urinary tract affected by uroliths. Objective: The current study aims to determine the composition of urolith stones seen in patients admitted in single Centre in Pakistan. Materials and Methods: This cross-sectional study was carried out on urolithstones composition surgically removed through minimum access procedure at Urology department of Ayub Teaching Hospital, Abbottabad for period of six months from October 2020 to March 2021. Urinary stones composition was measured through qualitative tests such as infrared and crystallography spectroscopy. Statistical analysis was performed in SPSS version 20. Results: A total of 82 patients with mean age ± SD 45.3±11.7 years having urinary stones were investigated in this cross-sectional study. Male to female ratio was 1.9:1. Male patients (54) (65.85%) were dominant over females (28) (34.15%) in term of stones removal. A high occurrence for urinary stones was bladder or upper urinary tract (81.6%) irrespective of their gender. Calcium containing stones were predominant in ureter, urethra and renal followed by struvite stones (56.8%). Two-third stones in struvite stones were in lower tract while uric acid, calcium phosphates and calcium oxalate were found in upper tract. Calcium oxalate account for 92.60% with mixed composition stones. Conclusion: Our study concluded that the majority of uroliths constitute calcium oxalate or phosphates and struvite stones in our setting. Uroliths formation is caused by urinary tract infection as indicated in our study. Calcium oxalate was the most common among these stones. Struvite stones were the least common one. The prevalence of stones was dominant in male patients compared to female patients. The anatomical location for calcium oxalate and struvite stones was lower tract and bladder respectively. Keywords: Uroliths, Composition, Calcium oxalate, Struvite stone

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Section: Discussionsupporting

confidence: 43%

Study on Uroliths Composition in Tertiary Care Hospital of Pakistan

Rehman¹,

Khan²,

Ahmad³

et al. 2021

PJMHS

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“…5 Studies done locally showed that urolithiasis represent 13.6% to 33.6% of urologic surgical burden which is consistent with our finding, 30.0%. 11,[25][26][27] Furthermore, reports from other countries recognized urolithiasis among the major reasons of urologic surgical admission. 2,3,14 Worldwide, the estimated male to female ratio of urolithiasis ranges from 1.5 to 2.5:1.…”

Section: Discussionmentioning

confidence: 99%

<p>Urolithiasis: Presentation and Surgical Outcome at a Tertiary Care Hospital in Ethiopia</p>

Mohammed¹,

Yohannes²,

Tegegne³

et al. 2020

RRU

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Background The prevalence of urolithiasis is on a rising trend in tropical and sub-Saharan African countries. The treatment options and data on the surgical outcome are limited in our country. This study was designed to assess the clinical presentation, surgical management and outcome of patients operated on for urolithiasis. Patients and Materials A retrospective study of all patients admitted and operated for urolithiasis at St. Paul’s hospital millennium medical college (SPHMMC) from July, 2016 to December, 2017 was conducted. Factors associated with surgical outcome were identified with binary logistic regression. Results Urolithiasis constituted 247 (30.0%) of 824 urologic admissions. Of these, 202 (Male:Female = 2:1) patients were investigated. The mean age was 37.1 ± 14.4 years (range, 10–85 years). The mean duration of illness was 16.7 ± 18.7 months and the commonest presenting symptom was isolated flank pain (97, 48.0%). A majority of the patients (186, 92.1%) had upper tract stones of which 96 (51.6%) were renal stones. More than two-thirds (164, 81.2%) of the patients had complications at presentation, and hydronephrosis (148, 73.3%) was the major one. Half of the patients (104, 51.5%) were treated with endoscopic procedures, 88 (43.6%) with open stone surgery and in 10 (4.9%) patients both were performed. Nephrectomy was done to 15 (7.4%) patients. Intraoperative and postoperative complications were noted in 16 (7.9%) and 26 (12.9%) patients, respectively. These complications were higher in patients with comorbid illness (AOR = 2.44; 95% CI 1.12–5.31; p = 0.024). Complete stone clearance was achieved in more than half of the clients (114, 61.0%). Multiple stones (AOR = 8.33; 95% CI 2.53–27.43; p < 0.0001) and endoscopic procedures (AOR = 4.17; 95% CI 1.57–10.71; p = 0.003) had significant association with incomplete stone clearance. Conclusion Patients’ presentation in this review was not different from studies elsewhere. Endoscopic procedures are emerging in our set up; however, it was significantly associated with incomplete stone clearance. Strategies to improve outcome (stone clearance) need to be implemented accordingly.

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“…It is also the leading diagnosis of elective admission for surgery performed at our University hospital [2]. Esophageal Cancer has an effect of multifaceted severe insult in the physiology and cardiorespiratory reserves of the subjects as it does not only put the patient at significant imbalance due to cachexia as other malignancies do but it also confounds the situation by dysphagia and subsequent dehydration [3]. The presenting symptoms of esophageal cancer usually signify locally advanced disease or distant metastases or both irrespective of histologic type even in developed nations with "early "diagnosis [4,5].…”

Section: Introductionmentioning

confidence: 99%