Contribution of Imaging in the Diagnosis of Urinary Tract Lithiasis at the Fertilia Medical Clinic in Bamako

Abstract

Aims: Urolithiasis is a common pathology which affects, depending on the country, from 4 to 20% of the population. Several epidemiological studies have shown over the last 30 years that the frequency of lithiasis continues to increase in industrialized countries. The objective of our study was to evaluate the contribution of imaging methods in the management of lithiasis of the urinary tree at the Fertilia medical clinic in Bamako. Subjects And Methods: This was a 24-month cross-sectional and prospective study, between January 2020 and January 2022, which involved 160 patients who came for imaging examinations looking for urinary tract lithiasis. Data were entered and analyzed using SPSS. Results: A total of 2,875 radiological examinations were carried out during our study period and we retained 160 cases of urinary tract lithiasis, i.e. a frequency of 05.56%. The most represented age group was 21-30 years old with 24.37%. The male sex represented 65%, pupils and students were the most numerous with 24.34%. 90.62% of our patients were referred to us by other doctors. The most common urological antecedent was urinary bilharziasis. The most cited reason for consultation was acute renal colic. The radiological examination that was performed the most was the combination of plain abdominal radiography and ultrasound. The ASP was normal in 28.75% of cases. The renal site was the most common location of lithiasis (63%) and mainly on the left (46.25%). The calyx location of lithiasis was the most common with 58.75%. The number of lithiasis was two or more in 54.38%. The most cited ureteral location was the terminal ureter (60%). The complication on the upper urinary tract was hydronephrosis (60%). Creatinine was normal in 76.87% of cases. Conclusion: Urolithiasis remains a fairly common condition in Gao. It is especially seen among the working population. It is common at all ages and more frequently in males. Urolithiasis is responsible for temporary professional ..........