TITLE:
Upper Urinary Tract Calculi in Senegal: A Comparative Study between Open Surgery and Endoscopy, a Review of 89 Cases
AUTHORS:
R. Kane, Y. Diallo, L. Niang, A. Ndiaye, M. Ndoye, M. Jalloh, M. Ogoubemy, S. M. Gueye
KEYWORDS:
Upper Urinary Tract Calculi, Endourology, Open Surgery
JOURNAL NAME:
Open Journal of Urology,
Vol.5 No.9,
September
2,
2015
ABSTRACT: Objective: The aim was to assess the place
of endourologic intervention in our practice and compare it to open surgery in
the management of upper urinary tract calculi in Senegal. Patients and Methods:
This was a retrospective study conducted at both the Principal and Grand Yoff
Hospitals of Dakar from January 2009 to December 2013 in which 89 patients with
upper urinary tract calculi were mobilized. All patients with symptomatic upper
urinary tract colic symptoms were included. Results: Eighty-nine were followed
up during the study period, 63 men and 36 women (sex of ratio 1.2). The average
age was 44 years with extremes 22 - 75 years. Forty two patients, including 28
men and 14 women (sex ratio 1: 2) were treated with open surgery. The mean age
was 42.75 years (4 - 75 years). The average duration of hospitalization after
open surgery was 8 days (4 - 60 days). The mean stone size in open surgery was
23 mm (5 mm - 45 mm). Complications noted were: 2 cases of urinomas (4.76%), 1
case of lower back fistula (2.38%), 1 case of renal pelvis fistula (2.38%) and
1 case (2.38%) of infection. Forty seven patients including 35 men (55.6%) and
12 women (46.2%) were treated by endourology. The average length of hospital
stay was 2 days (2 d - 3 d). The average stone size treated by endourology was
13 mm (5 mm - 40 mm). No complications were observed in this group. The cost of
open surgery was a third of that of endourology. Conclusion: Endoscopic
surgery, as is observed from industrialized countries occupies a prominent
place in the treatment of upper urinary tract calculi in Senegal; however, the
only limiting factor encountered is the cost which remains out of reach for
patients and burdening the budgets of our hospitals with limited means.