Urinary tract stone disease in Nairobi

Authors: Oliech JS, Kayima JK, Otieno LS.
At the Kenyatta National Hospital (KNH) and other private hospitals in Nairobi urinary stone
disease is not being correctly diagnosed. Over a 15 year period (1980-1995) only 56 patients have
been confirmed to have urinary tract stones out of the expected number of 220 patients. The age
range was 10-60 years. The peak age was 30-40 years. Pain and haematuria were the commonest
presenting symptoms. Ultrasonography and plane abdominal radiology were the commonest
methods of diagnosis. Open surgery and endoscopic stone removal were the commonest modes
of management. Extracorporeal shortwave lithotripsy (ESWL) has recently been introduced into
the Nairobi Hospital, but was not functional at the time of this study. Percutaneous
nephrolithotomy (PCNL) is possible but has not been adequately used due to lack of correct
equipment. Septicaemia and haemorrhage were the commonest complications of the open
East Afr Med J. 1998 Jan; 75(1):30-4. PubMed PMID: 9604532

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