Admission Patterns and Management of Urolithiasis: A Hospital Based Study in Tikur Anbessa Specialized Hospital (TASH), Addis Ababa, Ethiopia

  • D. Andualem
  • G. Gidena

Abstract

Background: The prevalence of urolithiasis in black Africans is considered to be lower than other parts of the world. A study in Nigeria found a prevalence of 6.3 per 100000 populations, with a male to female ratio of 4:1 10. Ethiopia is a tropical sub-Saharan African country with close proximity to the Afro-Asian stone belt. Therefore, this is a hospital based study that tries to look in to the epidemiology and management of urolithiasis.

Methods: This is a one year cross-sectional study of urolithiasis patients admitted in TAGSH from January 1st to December 31st 2013. Data was collected using a preset questionnaire from medical records, laboratory and imaging investigations.

Results: The number of patients with urolithiasis admitted to the urology ward in the study period (Jan. 2012 to Dec. 2013) was 84, which is 22.3% of the 376 urology patients admitted. Of these, 58(69%) were males and 26(31%) females. During the study period 46 (55%) patients were treated with open surgical procedure, 35 (42%) were treated endoscopically and 3 (3%) both by open and endoscopy. Discussion: This study shows that urolithiasis is one of the major reasons for urologic admissions in TASH which contrary to some sub-Saharan African countries10. Our study also showed renal failure is a major complication of urolithiasis patients which may indicate late admission or poor medical facility. Most patients are treated by open surgery in our hospital which is against from the developed countries where only less than 5% of patients are treated by open method.

Conclusion: Urolithiasis is a major cause of urologic admissions in our hospital and the treatment modalities offered are not up to the standard.

 

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Published
2018-04-02
Section
Articles