Urolithiasis in Nairobi, Kenya.
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Date
2010
Authors
Ngugi, P. M.
Magoha, G. A.
Kiptoon, D.
Journal Title
Journal ISSN
Volume Title
Publisher
Kenya Medical Association
Abstract
Background: Urolithiasis is an emerging problem in Kenya previously thought to be
very rare and in which the use of modern methods of treatment has not been widely
practiced
Objective: To review the presentation and management of patients presenting with
urolithiasis in Nairobi, Kenya
Design: A retrospective study
Setting: The Nairobi hospital and Upper Hill Medical Centre a day care facility next
to the Nairobi hospital
Subjects: One hundred and twenty five males and fifty three females aged 9 to 75
years
Results: One hundred and seventy eight patients were treated for urolithiasis over a
five-and- half year period. Their mean age was 44.8 years, and the median was 45 years
The 178 patients required 262 procedures to achieve stone clearance. One hundred
and two patients had ESWL, with an overall stone clearance rate of 95%. Twentythree
patients had PCNL; 18 as the first procedure and 5 after failed ESWL. Fifty-one
patients had ureteroscopic
Management: Fourty seven had laser or pneumatic lithotripsy while four had stone
removal by Dormia basket. Seven patients had bladder calculi managed by either
cystolitholapaxy or forceps retrieval.
Conclusions: This study demonstrates a higher annual incidence of urolithiasis in
Nairobi than earlier literature. Study demonstrates that ESWL and ureteroscopic
methods are highly effective in the treatment of renal and ureteral calculi as day care
procedures.
Description
Research Article
Keywords
Citation
East Africa Medical Journal Vol. 87 No.10 October 2010