Contribution of Medical Imaging in the Diagnosis of Urinary Disorders in Children at the Charles de Gaulle University Hospital in Ouagadougou

Abstract

Purpose: The purpose of our study, which focused on the contribution of medical imaging in the diagnosis of urinary tract diseases in children at the Charles de Gaulle University Hospital of Ouagadougou, was to study the role of medical imaging in the diagnosis of urinary tract diseases in patients aged 15 years or less at the CHUP-CDG. Patients and Methods: This was a descriptive cross-sectional study with the retrospective collection covering the period from January 1, 2009 to December 31, 2018, i.e., 10 years. We collected a total of 833 medical imaging examinations, performed in 735 patients. The mean age of the patients was 40 months, infants accounted for 37.69% of the cases. Male patients were more numerous with a sex ratio of 1.53. Results: Ultrasonography was performed in 652 patients or 78.27%, ASP RX in 128 patients or 10.88%. URC and UIV were used in 6.53% and 0.68% of patients, respectively. CT and MRI were not performed in our study. The most frequent clinical urinary signs were dysuria (58.13%) and hematuria (43.94%). Ultrasonography was the most requested examination (78.27%), followed by conventional radiography (15.37%). Urinary lithiasis was by far the most common urinary condition (46.86%), followed by urinary tract infections (32.19%) and malformative uropathies (14.93%), of which the posterior urethral valve was the most frequent. Imaging was also used to find other conditions associated with urinary tract diseases. Conclusion: Medical imaging plays a major role in the diagnosis and management of urinary tract diseases in children. It has limitations, that is why a formal meeting between clinicians and radiologists is necessary for a better choice of imaging techniques and efficient management of these conditions.