TITLE:
Urolithiasis: Diagnostic and Therapeutic Aspects in Urology Department of N’Djamena in Chad
AUTHORS:
Kimassoum Rimtebaye, Franklin Danki Sillong, Arya Zarif Agah Tashkand, Mignagnal Kaboro, Lamine Niang, Serigne Magueye Gueye
KEYWORDS:
Urolithiasis, Nephrectomy, Cystolithotomy, Calculi
JOURNAL NAME:
Open Journal of Urology,
Vol.5 No.11,
November
11,
2015
ABSTRACT: 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.