Abstract
Urolithiasis is a major public health issue due to its increasing prevalence. The objective of this study was to describe the spectrophotometric profile of upper urinary tract stones (UTS) in Senegal. We conducted a multicenter retrospective study of all patients treated for upper UTS whose chemical composition was analyzed from January 2014 to January 2020 in eight regions of Senegal. Socio-demographic, clinical, paraclinical, and prognosis data were collected and analyzed. Three hundred and thirty-four patients were included in this study with a mean age of 46.3 ± 18.4 years and a sex ratio of 1.38. About one-third of patients (31.1%) had a body mass index > 25 kg/m2 and 74.2% presented with lumbar pain was the main clinical symptom. Calcium oxalate and calcium phosphate stones were the predominant types found, respectively, in 37.7% and 24.5% of patients. Uric acid was the main stone constituent in 18.6% of patients and struvites represented 14.7% of cases. Stones were located in the renal calyces and pelvis in 71.2% of cases. Surgical lithotomy was performed in 62.7% of patients for UTS extraction. Upper UTS are frequent condition in Senegalese with predominance of males and young adults. Calcium and uric acid stones are the main types. Preventive dietary and lifestyle measures are needed to reduce their burden.
Data availability
Data is available on request by contacting the authors.
References
Khan SR, Pearle MS, Robertson WG, Gambaro G, Canales BK, Doizi S et al (2017) Kidney stones. Nat Rev Dis Primers 2:16008. https://doi.org/10.1038/nrdp.2016.8
Finlayson B (1978) Physicochemical aspects of urolithiasis. Kidney Int 13:344–360. https://doi.org/10.1038/ki.1978.53
Lieske JC, Rule AD, Krambeck AE, Williams JC, Bergstralh EJ, Mehta RA et al (2014) Stone composition as a function of age and sex. Clin J Am Soc Nephrol 9(12):2141–2146. https://doi.org/10.2215/CJN.05660614
Diallo Y, Kouka SC, Kane R et al (2015) Upper urinary tract lithiasis: epidemiological, clinical and therapeutic aspects in the region of Thiès, Senegal. Rev Méd Madag 5(1):520–5. https://rmm.mg/storage/pdfs/RMM13-11.PDF
Stamatelou K, Goldfarb DS (2023) Epidemiology of kidney stones. Healthcare (Basel) 11(3):424. https://doi.org/10.3390/healthcare11030424
Romero V, Akpinar H, Assimos DG (2010) Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Rev Urol 12:e86–e96
Chen Z, Prosperi M, Bird VY (2019) Prevalence of kidney stones in the USA: The National Health and Nutrition Evaluation Survey. J Clin Urol 12:296–302. https://doi.org/10.1177/20514158188138
Penniston KL, McLaren ID, Greenlee RT, Nakada SY (2011) Urolithiasis in a rural Wisconsin population from 1992 to 2008: narrowing of the male-to-female ratio. J Urol 185:1731–1736. https://doi.org/10.1016/j.juro.2010.12.034
Kittanamongkolchai W, Vaughan LE, Enders FT et al (2018) The changing incidence and presentation of urinary stones over 3 decades. Mayo Clin Proc 93:291–299. https://doi.org/10.1016/j.mayocp.2017.11.018
Kaboré FA, Kambou T, Zango B et al (2013) Epidemiology of a cohort of 450 urolithiasis at the Yalgado Ouedraogo University Hospital in Ouagadougou (Burkina Faso). Prog Urol 23(12):971–976. https://doi.org/10.1016/j.purol.2013.04.014
Ondziel-Opara S, Atipo A, Okemba G et al (2022) Epidemiological profile of patients suffering from urolithiasis in African Urological Environments from 2016 to 2020. Open Journal of Urol 12:157–167. https://doi.org/10.4236/oju.2022.122016
Undie CU, Nnana EI, Torporo KR et al (2021) Composition of uroliths seen in patients in Abuja, Nigeria: a single centre retrospective analysis of 155 stones. Afr J Urol 27:91. https://doi.org/10.1186/s12301-021-00195-1
Djelloul Z, Djelloul A, Bedjaoui A et al (2006) Urolithiasis in western Algeria: study of the composition of 1354 urinary stones in relation to their anatomical location, age and sex of the patients. Prog Urol 16:328–335
Scales CD, Smith AC, Hanley JM, Saigal CS (2012) Prevalence of kidney stones in the United States. Eur Urol 62(1):160–165. https://doi.org/10.1016/j.eururo.2012.03.052
Alaya A, Nouri A, Belgith M, Saad H, Jouini R, Najjar MF (2012) Changes in urinary stone composition in the Tunisian population: a retrospective study of 1,301 cases. Ann Lab Med 32(3):177–183. https://doi.org/10.3343/alm.2012.32.3.177
Koo K, Matlaga BR (2019) New imaging techniques in the management of stone disease. Urol Clin North Am 46(2):257–263. https://doi.org/10.1016/j.ucl.2018.12.007
Laziri F, Rhazi Filali F, Ali A, Bendifi H (2007) Explorations of urinary stones collected in Meknès by Fourier transform infrared spectroscopy. Phys Chem News 34:79–84
Sakhaee K, Adams-Huet B, Moe OW, Pak CYC (2002) Pathophysiologic basis for normouricosuric uric acid nephrolithiasis. Kidney Int 62:971–979. https://doi.org/10.1046/j.1523-1755.2002.00508.x
Coe FL (1983) Uric acid and calcium oxalate nephrolithiasis. Kidney Int 24(3):392–403. https://doi.org/10.1038/ki.1983.172
Oussama A, Kzaiber F, Mernari B, Hilmi A, Semmoud A, Daudon M (2000) Analysis of adult urinary stones in the Moroccan Middle Atlas by Fourier transform infrared spectrophotometry. Progr Urol 10:404–410
Kravdal G, Helgø D, Moe MK (2019) Kidney stone compositions and frequencies in a Norwegian population. Scand J Urol 53(2–3):139–144. https://doi.org/10.1080/21681805.2019.1606031
Flannigan RK, Battison A, De S et al (2018) Evaluating factors that dictate struvite stone composition: a multi-institutional clinical experience from the EDGE Research Consortium. Can Urol Assoc J 12(4):131–136. https://doi.org/10.5489/cuaj.4804
Anan G, Kikuchi D, Hirose T, Ito H, Nakayama S, Mori T (2023) Impact of sodium-glucose cotransporter-2 inhibitors on urolithiasis. Kidney Int 8(4):925–928. https://doi.org/10.1016/j.ekir.2023.01.034
Acknowledgements
The authors thank Centre d'Excellence Africain Environnement&Santé (CEA-AGIR), Laboratoire Bio24, IPD and SulunLab for their support.
Author information
Authors and Affiliations
Contributions
M.D., R.K, L.N and S.M.S contributed to data collection and analysis M.D, M.N, L.M.L, D.D, A.D.D and S.M.S wrote the first draft of the manuscript. All authors reviewed the manuscript.
Corresponding author
Ethics declarations
Conflict of interests
The authors declare no conflicts of interests that are related to this work.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Modou, N., Mohamed, D., Motoula Latou, L. et al. Epidemiology and composition of upper urinary tract lithiasis in Senegalese population: a multicenter retrospective study. Urolithiasis 52, 4 (2024). https://doi.org/10.1007/s00240-023-01498-4
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s00240-023-01498-4