Management of urinary stone disease in a resource limited tertiary hospital.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Background:Urine stone disease is increasingly becoming a common diagnosis in Sub-Saharan Africa. Different factors have been outlined as the cause. The incidence of associated renal function loss is also on the increase. Different management protocols and techniques have been proposed. Availability of newer technological adjuncts is not universal. Aim: to present management of urinary tract stones in a resource limited centre. Material and methods: A ten-year retrospective study of patients treated for urolithiasis was conducted in the University of Port-Harcourt teaching hospital from Jan 2007 to Nov 2017. Data on the age, sex, underlying clinical condition, location of the stone as well as surgical procedures done were collected. Qualitative analysis of the stones was carried out. Data was analysed with SPSS version 20.0 Results: Eighty-nine patients were treated with urinary calculi within the study period. The occurrence of urinary tract stones was found to be greater in males with a proportion of 77.53%, than in females 22.47%. Stones were commonest in the 31-40 years age group. Stones were most commonly located in the kidneys, followed by the bladder and least in the ureter .loin pain was the commonest complain by the patient. There was no identifiable cause for urinary stone in majority of the cases (idiopathic, 64%). Seventy three cases of urinary stone disease were treated surgically, with majority of case treated with open procedures. Combinations of procedures were necessary in a selected number of cases. Endoscopic procedures were mainly carried out in the lower urinary tract. Majority of the stones were calcium based stones. Conclusion: The diagnosis of urinary tract stone disease is increasing in our environment with a male preponderance. Mainly open surgical procedures are carried out in our environment. Acquisition of modern therapeutic options is necessary. Running title: urinary tract stones.
Authors and Affiliations
Onyeanunam Ngozi Ekeke, MB,BS, FWACS,, FICS . . , Charles Percy Okpani, MB BS2
Keywords
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