Open Surgery for Urolithiasis in Patients over 15 Years of Age at the Ouahigouya Regional University Hospital (CHUR/OHG)

Abstract

Objective: to study the management of urolithiasis by open surgery in patients over 15 years of age at the Regional University Hospital of Ouahigouya (CHUR/OHG). Method: this was a descriptive cross-sectional study with a retrospective aim extended over a three-year period from January 1, 2020 to December 31, 2022. Result : the number of patients treated by open surgery for urinary stones was 58 in 3 years, with a frequency of 19.3 cases operated on per year. There was a predominance of men with a sex ratio of 2.05. The age of the operated patients ranged from 17 to 80 years old for an average age of 44 years. The most affected age group was between 31 and 40 years old, with the majority of farmers at 37.9%. In 78% of cases, the patients came from rural areas. Renal colic was the main symptom in 55.2% of patients. Among our patients, 34.5% had a history of urinary schistosomiasis. UroCT and ultrasound of the urinary tract accounted for 56.9% and 89.7% of the requested paraclinical examinations, respectively. Pyelic lithiasis was the most common (39.7%). Open surgery was the only way used to extract stones with complications recorded in 10.3% of patients (uretero-renal dissociation with bleeding, two parietal suppuration, vesicocutaneous fistula, lumbar region eventration, postoperative anuria). Conclusion : the stone pathology operated on generally affects adults. This study has shown that it is of pyelic topography. Open surgery is the only surgical technique that is practiced in our context.