Open AccessUrinary lithiasis: epidemiological, clinic and therapeutic aspects at CNHU-HKM / Cotonou, Republic of Benin
Author(s) -
Muhindo Lutegha,
République Démocratique du Congo,
Agounkpé Michel Michaël,
Hodonou J-M. Fred,
Muhindo Valimungighe Moïse,
Yevi Magloire.D.I,
Stéphane Jean,
Avakoudjo Josué D.G
Publication year - 2021
Publication title -
journal of medical research
Language(s) - English
Resource type - Journals
ISSN - 2395-7565
DOI - 10.31254/jmr.2021.7104
Subject(s) - medicine , urinary system , epidemiology , urology , urine , upper urinary tract , gynecology
Objective: To report the epidemiological, clinical and therapeutic aspects of urinary lithiasis at the university clinic of urology - andrology of Centre National Universitaire Hubert Koutoukou MAGA of Cotonou. Patients and methods: This is a retrospective study of 117 cases of urolithiasis collected over 10 years, carried out at the university clinic of urology - andrology of Centre National Universitaire Hubert Koutoukou MAGA of Cotonou. The study parameters were age, sex, profession, clinical and para-clinical characteristics, topography of urolithiasis, the treatment used and the main complications. Frequency and average calculations allowed us to analyze our results. Results: The average age in our study was 44.5 years. The age group between 40-49 years old was the most represented with 27.4% of the cases. The sex ratio was 2. The most frequent clinical manifestation was dominated by low back pain in 85.5% of cases. Cytobacteriological examination of the urine was pathological in 27 patients or 20%. The most commonly used imaging test was ultrasound of the urinary tree (89.5%) followed by Euro-CT (56.4%). Creatinine levels were disturbed in 16.2% of patients and uremia in 13.7%. Over 85% of urolithiasis involved the upper urinary tract. The JJ catheter surge (29.9%) and percutaneous nephrolithotomy (24.8%) were the main techniques used for the treatment of urolithiasis at CNHUHKM of Cotonou. Conclusion: Urolithiasis remains a problem in our environment and requires an appropriate diagnosis with a view to effective and prompt management.