La lithotripsie extracorporelle: expérience d’un centre Sénégalais

ConclusionLa LEC a été efficace dans la prise en charge des calculs du haut appareil urinaire cependant, ces résultats peuvent encore être améliorés.AbstractObjectivesEvaluate the efficacy of extracorporeal lithotripsy (ECL) in the management of urinary lithiasis.Patients and methodsRetrospective, descriptive and analytical study of 76 patients who underwent ECL in a center in Senegal from January 2013 to January 2016. The parameters studied were: age, sex, body mass index (BMI), Calculus characteristics, number of lithotripsy sessions, treatment outcomes and complications.ResultsThe mean age was 42, 7 ± 10, 9 years. The male sex was predominant. The majority of patients had normal weight. CT showed calculus in all patients. Ureteral localization was the most frequent. Calculi with a size less than 10 mm were the most numerous. Most patients had only a calculation. The majority of patients underwent between one and three ECL sessions. Patients with normal weight had their calculus fragmented with the least session. There was no correlation between the number of sessions and the size of the kidney stones (p = 0, 19), while there was a correlation between the number of sessions and the size of the ureteral stones (p = 0,008). Patients without residual fragments were more numerous (82, 9%). The success rate was better for the kidney stones of the upper and middle calyxes and better for the ureteral calculi of the pelvic ureter and the lumbar ureter. Transien...
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research