Author(s)

Moussa Adam Adami^1,2,3*, Amine Mahamat Mahamat Ali^1,4, Ngaringuem Olivier^1,2, Djibrine Abakar Mahamat Nour^1,2

¹Faculty of Human Health Sciences/University of N’djamena, N’djamena, Chad.
²Department of Pediatric Surgery, Mother and Child University Hospital, N’djamena, Chad.
³Général Surgery, Mother and Child University Hospital, N’djamena, Chad.
⁴Urological Surgery, National Reference University Hospital Center, N’djamena, Chad.

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.

Urolithiasis, Child, Kidney, Bladder, Chad

Adami, M. , Ali, A. , Olivier, N. and Nour, D. (2022) Aspects of Urolithiasis in Chadian Children: About of 191 Cases Collected at the Mother and Child University Hospital of N’Djamena (Chad). Open Journal of Urology, 12, 519-526. doi: 10.4236/oju.2022.1210051.