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Urinary tract stone disease in Nairobi

J S Oliech1, J K Kayima, L S Otieno

  • 1Department of Surgery, College of Health Sciences, Kenyatta National Hospital, Nairobi, Kenya.

East African Medical Journal
|May 30, 1998
PubMed
Summary

Urinary stone disease diagnosis is underreported in Nairobi hospitals. Key symptoms include pain and hematuria, with open surgery often leading to complications like sepsis.

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Area of Science:

  • Urology
  • Nephrology
  • Public Health

Background:

  • Urinary stone disease diagnosis is a significant challenge in Nairobi.
  • Underdiagnosis leads to delayed or inadequate management.

Purpose of the Study:

  • To evaluate the diagnosis and management of urinary tract stones in Nairobi.
  • To identify challenges in current diagnostic and treatment modalities.

Main Methods:

  • Retrospective review of 56 confirmed urinary tract stone cases from 1980-1995.
  • Analysis of patient demographics, symptoms, diagnostic methods, and management outcomes.

Main Results:

  • Only 56 cases confirmed over 15 years, significantly lower than expected.
  • Common symptoms: pain and hematuria. Common diagnostic tools: ultrasonography and radiography.
  • Open surgery and endoscopic removal were prevalent; ESWL and PCNL were underutilized.

Conclusions:

  • Significant underdiagnosis of urinary stone disease in Nairobi.
  • Limited access to advanced technologies like ESWL and PCNL hinders optimal patient care.
  • Complications such as septicemia and hemorrhage are associated with open surgery.

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