Urolithiasis at The Kenyatta National Hospital:Nairobi, January 1978 - December 1987
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Date
1989Author
Ngwanyam, Nicholas Y
Type
ThesisLanguage
enMetadata
Show full item recordAbstract
We carried out a retrospective study to establish the epidemiological
and clinical picture of urolithiasis and 1ts management at the Kenyatta
National Hospital General Surgery Units.
82 patients with 89 episodes were seen and managed for stone disease in
10 years with an annual incidence of 8.9. The sex ratio is 4.5 males: 1
female. The majority of the patients have only one episode of severe
stone disease mostly in the bladder. The left and right are equally
predisposed.
Pain, dysuria, frequency, retention, infection and haematuria are quite
comnon, Urinalysis, plain abdominal, x-rays , intravenous urograms and
cystoscopy are quite adequate for establishing the diagnosis.
Almost all patients are hospitalised for about a month or more and
cystolithotomy is the surgical procedure that is most indicated. Only a
tenth of our patients are not operated. No associated deaths have been
noticed.
TWo-thirds of the stones are single and only a tiny proportion of those
are staghorn. Calcium and oxalate predominate in the formation of the
stones. Pure uric acid stones are hardly seen and cystine is
inexistent.
Citation
Degree of Master of Medicine (surgeryPublisher
University of Nairobi Department of Medicine
Description
A dissertation presented as part of the requirements
for the Degree of Master of Medicine (surgery)
University of Nairobi.