Original Research Article
Year: 2021 | Month: January | Volume: 11 | Issue: 1 | Pages: 145-151
Uroscannographic Profile of Urolithiasis at Marie Biamba Mutumbo Hospital in Kinshasa, Democratic Republic of Congo
David Kizunga M1, Aliocha Nkodila N2,3, Jean Mukaya T1, Michel Lelo T1, Mathieu Loposso L4, Antoine Molua A1
1Department of Radiology, University of Kinshasa, Kinshasa, Democratic Republic of Congo
2Faculty of Public Health, Lomo University Research, Kinshasa, Democratic Republic of Congo
3Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
4Department of Urology, University of Kinshasa, Kinshasa, Democratic Republic of Congo
Corresponding Author: Aliocha Nkodila Natuhoyila
ABSTRACT
Background and purpose: Imaging plays an essential role in the management of stones. It makes it possible to make the diagnosis, to locate it, to measure its dimension, its density and to orient on its chemical composition. But data on the urolithiasis profile of urolithiasis in the DRC are fragmentary. The purpose of the study is to assess the extent of Uroscan in the diagnosis of urinary tract stones in patients examined at Marie Biamba Mutombo Hospital.
Methods: This is a descriptive study of 79 patients who performed a CT scan at HBMM during the period from 2013 to 2018. The sociodemographic, clinical characteristics and the results of the CT scan were studied.
Results: 79 patients who performed the uroscan were studied, of which 58.2% were men. The mean age of these patients was 44.5 ± 17.1 years. Clinically, the majority of uroscans were indicated for renal colic and check-up (77.2% respectively). The frequency of lithiasis after CT scan was 38.5% with 5.1% recurrence. Of the 79 patients selected, 119 lithiasis were identified, mostly located in the kidney (63.9%), of which 50.4% were microlithiasis. The majority of these lithiases had a composition orientation of phosphate (42.9%), uric acid and oxalate (28.6% respectively). Several abnormalities associated with lithiasis were found on CT in addition; with the most frequent a renal cyst (27.4%).
Conclusion: The uroscanner is an essential examination in the management of lithiasis pathologies, it gives the precise localization, orients on the chemical composition, takes the size and guides the therapeutic attitude.
Key words: Uroscanner, profile, urolithiasis, HBMM, RDC.