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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 19, No. 3, 2015, pp. 29-34
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Bioline Code: js14052
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 19, No. 3, 2015, pp. 29-34
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Admission Patterns and Management of Urolithiasis: A Hospital Based Study in Tikur Anbessa Specialized Hospital (TASH), Addis Ababa, Ethiopia.
Adnualem, D. & Gidena, G.
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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© Copyright 2014 - East and Central African Journal of Surgery
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