Back
 OJU  Vol.5 No.2 , February 2015
Symptomatic Urinary Lithiasis: Epidemiology and Management at Urology Department of University Hospital of Cotonou
Abstract: 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.
Cite this paper: Hounnasso, P. , Avakoudjo, J. , Paré, A. , Brahima, K. , Ouattara, A. , Agounkpé, M. , Natchagandé, G. , Toré, S. , Mustapha, A. and Vodounou, A. (2015) Symptomatic Urinary Lithiasis: Epidemiology and Management at Urology Department of University Hospital of Cotonou. Open Journal of Urology, 5, 7-12. doi: 10.4236/oju.2015.52002.
References

[1]   Daudon, M. and Dore, B. (1999) Cristallographie des calculs urinaires: Aspects néphrologiques et urologiques. Encyclopédie Médico-Chirurgicale (Elsevier, Paris) Néphrologie-Urologie, 104-A-25, 1-17.

[2]   Daudon, M., Traxer, O., Lechevallier, E. and Saussine, C. (2008) épidémiologie des lithiases urinaires. Progrès en Urologie, 18, 802-814. http://dx.doi.org/10.1016/j.purol.2008.09.029

[3]   Kabore, F.A., Kambou, T., Zango, B., Ouattara, A., Paré, A., Simporé, M., et al. (2013) Analyse retrospective du traitement chirurgical des lithiases urinaires au CHU Yalgado Ouedraogo de Ouagadougou (Burkina Faso). Revue Africaine d’Urologie et d’Andrologie, 1, 18-23.

[4]   Diallo, A., Bah, I., Bah, M.D., Bah, O., Guirassy, S., Baldé, S., et al. (2008) Prise en charge de la lithiase du haut appareil urinaire au CHU de Conakry: Analyse rétrospective de 54 cas. African Journal of Urology, 14, 232-239.

[5]   Kaboré, F.A., Kambou, T., Zango, B., Ouattara, A., Simporé, M., Lougué/Sorgho, C., et al. (2013) épidémiologie d’une cohorte de 450 lithiases urinaires au CHU Yalgado Ouédraogo de Ouagadougou (Burkina Faso). Progrès en Urologie, 23, 971-976. http://dx.doi.org/10.1016/j.purol.2013.04.014

[6]   Coulibaly, G., Zoungrana, W., Sapo, C. and Lengani, A. (2011) Néphrolithiase dans un poste de consultation externe de néphrologie à Ouagadougou. Medécine d’Afrique noire, 58, 461-466.

[7]   Odzebe, A.S.W., Bouya, P.A., Berthe, H.J.G. and Omatassa, F.R. (2010) Open Surgery of the Urinary Tract Calculi at the University Hospital of Brazzaville: Analysis of 68 Cases. Mali Medical, 25, 32-35.

[8]   Hesse, A., Brändle, E., Wilbert, D., Köhrmann, K.-U. and Alken, P. (2003) Study on the Prevalence and Incidence of Urolithiasis in Germany Comparing the Years 1979 vs. 2000. European Urology, 44, 709-713. http://dx.doi.org/10.1016/S0302-2838(03)00415-9

[9]   Ulmann, A., Clavel, J., Destrée, D., Dubois, C., Mombet, A. and Brisset, J.M. (1991) Natural History of Renal Calcium Lithiasis. Data Obtained from a Cohort of 667 Patients. Presse Médicale, 20, 499-502.

[10]   Blair, B. and Fabrizio, M. (2000) Pharmacology for Renal Calculi. Expert Opinion on Pharmacotherapy, 1, 435-441. http://dx.doi.org/10.1517/14656566.1.3.435

[11]   Daudon, M., Jungers, P. and Lacour, B. (2004) Clinical Value of Crystalluria Study. Annales de Biologie Clinique, 62, 379-393.

[12]   Tawfiek, E.R. and Bagley, D.H. (1999) Management of Upper Urinary Tract Calculi with Ureteroscopic Techniques. Urology, 53, 25-31. http://dx.doi.org/10.1016/S0090-4295(98)00462-2

[13]   Hecht, S.L. and Wolf, J.S. (2013) Techniques for Holmium Laser Lithotripsy of Intrarenal Calculi. Urology, 81, 442-445. http://dx.doi.org/10.1016/j.urology.2012.11.021

[14]   Chabannes, é., Bensalah, K., Carpentier, X., Bringer, J.-P., Conort, P., Denis, é., et al. (2013) Prise en charge urologique des calculs rénaux et urétéraux de l’adulte. Mise au point du Comité lithiase de l’Association française d’urologie (CLAFU). Aspects généraux. Progrès en Urologie, 23, 1389-1399.
http://dx.doi.org/10.1016/j.purol.2013.08.315

[15]   Ouattara, Z., Effoé, A., Tembely, A., Sanogo, Z., Yena, S. and Doumbia, D. (2004) Etude de 72 cas de lithiases du haut appareil urinaire au service d’urologie de l’hopital du Point G. Mali Méd.

 
 
Top