La lithiase du bas appareil urinaire : Aspects diagnostiques et thérapeutiques à l’Hôpital de la Mère et de l’Enfant (HME) à N’Djamena (Tchad)

ConclusionLa lithiase du bas appareil urinaire est fréquente. La chirurgie à ciel ouvert est la seule méthode thérapeutique qui est pratiquée dans notre contexte. Faute d’une recherche étiologique réelle, la prise en charge correcte des lithiases reste limitée.AbstractObjectiveTo describe the epidemiological, clinical and therapeutic characteristics of lower urinary tract lithiasis in children at the Hôpital de la mère et de l’enfant of N’Djamena (Chad).Patients and methodsWe conducted a descriptive study on 130 cases of lower urinary tract lithiasis managed within 44 months between April 2011 and December 2014 at the department of pediatric surgery of the Hôpital de la mère et de l’enfant (HME) of N’djamena. The variables of the study were age, sex, medical history, clinical and paraclinical characteristics, treatment and outcomes. We computed frequency and means.ResultsMean age of our patients was 5,25 years (SD: 3.50; Range: 1-14 years). The age group 1-5 years was the most affected accounting for 57% of the cases. The sex ratio was 25/1. Patients were referred for urinary lithiasis throughout the year with 2 peeks of frequency in March and May when the weather is the hottest. The majority of our patients lived in Sahelian areas with 92% of cases versus 7% in desertic areas with low socio economic status. Urine culture isolated a germ in 31 patients (26.2%). The ...
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research

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