Aspects of Urolithiasis in Chadian Children: About of 191 Cases Collected at the Mother and Child University Hospital of N’Djamena (Chad)
- 1 Général Surgery, Mother and Child University Hospital, N’djamena, Chad
- 2 Urological Surgery, National Reference University Hospital Center, N’djamena, Chad
- 3 Faculty of Human Health Sciences/University of N’djamena, N’djamena, Chad
- 4 Department of Pediatric Surgery, Mother and Child University Hospital, N’djamena, Chad
Abstract
Introduction: Urolithiasis in children is not sufficiently documented in Chad. Objectives: The aim of this work was to report the epidemiological, clinical and therapeutic aspects of urolithiasis in children in our environment. Patients and methods: This was a descriptive retrospective study of patients aged 0 - 15 years treated for urolithiasis between January 2015 and July 2020. The variables studied were age, gender, clinical, paraclinical and therapeutic aspects. Results: Among the 191 children, there were 164 boys (85.9%) and 19 girls (9.9%). The sex ratio was 8.63. The average age was 5.86 years with extremes (1 and 15 years). The symptomatology was dominated by dysuria. The ASP-ultrasound pair allowed the diagnosis in 183 cases (95.8%). The site of the calculus was bladder in 128 cases (67%). The average calculation size was 2.81mm. A supporting cause was found in only 1 case (posterior urethral valve). Treatment was surgical and dominated by cystolithotomy. The postoperative course was marked by 5 cases of parietal infections (2.6%) and 3 cases of vesico-cutaneous fistulas (1.6%). No case of death has been reported. Conclusion: Lithiasis is more common in boys in the lower urinary tract. Open surgery remains the only one practiced. Etiological research must be carried out to develop prevention strategies.
- Marrakchi, O., Belhaj, R., Bahlous, A., Hayder, N., Gargah, T., et al. (2008) La lithiase urinaire chez l’enfant tunisien. Étude à propos de 187 cas. Progrès en urologie, 18, 1056-1061. https://doi.org/10.1016/j.purol.2008.09.048
- El Lekhlifi, Z., Laziri, F., Samih, M., Hidac, M., Bouabdillah, Y. and Souilmi, F.Z. (2016) Epidemiological Characteristics of Childhood Urolithiasis in Morocco. African Journal of Urology, 22, 92-95. https://doi.org/10.1016/j.afju.2016.01.009
- Sow, Y., Coulibaly, M., Fall, B., Sarr, A., Fall, P.A., et al. (2010) La lithiase urinaire de l’enfant: à propos de 20 cas. Mali Médical, 25, 43-46.
- Tfeil, Y. (2016) Lithiase vésicale de l’enfant. À propos de 30 cas. Uro’Andro, 6, 279-282.
- Velásquez-Forero, F., Esparza, M., Salas, A., et al. (2016) Risk Factors Evaluation for Urolithiasis among Children. Boletín Médico del Hospital Infantil de México, 73, 228-236. https://doi.org/10.1016/j.bmhimx.2016.05.006
- Alaya, A., Belgith, M., Jouini, R., Nouri, A. and Najjar, M.F. (2006) La lithiase urinaire de l’enfant en Tunisie. Aspects actuels à propos de 104 cas. Progrès en urologie, 16, 474-480.
- Barreto, L., Jung, J.H., Abdelrahim, A., Ahmed, M., Dawkins, G.P.C. and Kazmierski, M. (2019) Reprint—Medical and Surgical Interventions for the Treatment of Urinary Stones in Children: A Cochrane Review. Canadian Urological Association Journal, 13, 334-341. https://doi.org/10.5489/cuaj.5787
- Hodonou, F., Avakoudjo, J., Agounkpe, M., Soumanou, F., Natchagande, G. and Yevi, M. (2018) Lithiase de la fossette naviculaire au centre hospitalo-universitaire de zone SURU-LERE (CHUZ-SL): à propos d’un cas et revue de la littérature. Journal de la Société de Biologie Clinique du Bénin, 28, 69-71.
- Ali Mahamat, M., Ngaringuemb, O., Mahamat-NourAbakar, A.D., et al. (2017) 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). African Journal of Urology, 23, 295-299. https://doi.org/10.1016/j.afju.2016.11.003
- Mobima, T., Kouandongui, F.B.S. and Debato, L. (2017) Lithiases urinaires à Bangui (République Centrafricaine): contribution du couple ASP—échographie et de l’UIV. Journal Africain d’Imagerie Médicale, 9, 175-179.
- Shah, A.S., Banghu, G.S., Sandhu, R.S., Ded, K.S. and Mann, S.K. (2016) Posterior Urethral Valve Presenting with Uretral Stone: A Challenging Diagnosis. International Surgery Journal, 3, 2254-2256. https://doi.org/10.18203/2349-2902.isj20162864