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Year : 2022  |  Volume : 19  |  Issue : 1  |  Page : 44-47

Burden and management of urolithiasis in a newly established urology unit of a tertiary hospital

1 Department of Surgery, Bayero University, Kano/Aminu Kano Teaching Hospital, Kano (Visiting Consultant Urologist Federal Medical Centre, Yola, Adamawa State, Nigeria
2 Department of Surgery, Gombe state University/Federal Teaching Hospital, Gombe (Visiting Consultant Urologist Federal Medical Centre, Yola, Adamawa State, Nigeria
3 Department of Surgery, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi (Visiting Consultant Urologist, Federal Medical Centre, Yola, Adamawa State, Nigeria

Correspondence Address:
Dr. Muzzammil Abdullahi
Department of Surgery, Bayero University, Kano/Aminu, Kano Teaching Hospital, Kano
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njbcs.njbcs_28_21

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Background: Urolithiasis is the third most common affliction of the urinary tract that constitutes a significant burden on the practice of urology. The incidence and prevalence of urolithiasis are increasing globally. Objective: To assess the burden, presentation, and management of urolithiasis in our hospital. Materials and Methods: It was a retrospective descriptive study of patients who were managed for urolithiasis at the urology unit of our hospital between January 2015 and December 2019. Ethical approval was obtained. Patients' bio-data, clinical features, treatment, and complications were extracted from their medical records and entered into the proforma. The generated data were analyzed using SPSS version 21.0. Results: Complete medical records of 68 patients were retrieved. This constituted about 40.6% of urologic patients managed within the period. Their age ranged from 9 to 86 years with the mean age of 43.2 years ± 8.8 standard deviation (SD). The M F was 1.8:1. Students were predominant (29.4%). Others were traders, housewives, civil servants, and farmers. The majority of the patients presented with flank pain (64.7%) and mostly had renal pelvis stone (35.3%). Others had bladder stone (16.2%) and stag horn calculus (11.8%). Nearly all our patients were treated by open surgeries (98.5%) and most (72.1%) did not have any postoperative complication. Conclusion: Urolithiasis constitutes significant workload for urologists in our environment predominantly affecting young and middle-age males. The stones were predominantly in the upper urinary tract with a significant number of stag horn calculi. Despite the non-availability of uroendoscopic facilities, the majority of our patients had good outcome.

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