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Surgical Management of Urolithiasis of the Upper Tract – Current Trend of Endourology in Africa

Authors Cassell A III, Jalloh M, Ndoye M, Mbodji M, Gaye O, Thiam NM, Diallo A, Labou I, Niang L, Gueye S

Received 10 April 2020

Accepted for publication 19 June 2020

Published 6 July 2020 Volume 2020:12 Pages 225—238


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Jan Colli

Ayun Cassell III,1,2 Mohamed Jalloh,1 Medina Ndoye,1 Mouhamadou Mbodji,1 Oumar Gaye,1 Ngor Mack Thiam,1 Abdourahmane Diallo,1 Issa Labou,1 Lamine Niang,1 Serigne Gueye1

1Department of Urology and Andrology, Hospital General De Grand Yoff, Dakar, Senegal; 2Department of Surgery, Liberia College of Physicians and Surgeons, Monrovia, Liberia

Correspondence: Ayun Cassell III
Department of Urology and Andrology, Hospital General De Grand Yoff, Dakar, Senegal
Tel +221770135805

Abstract: Urolithiasis is a global pathology with increasing prevalence rate. The lifetime recurrence of urolithiasis ranges from 10– 75% creating a public health crisis in affected regions. The epidemiology of urolithiasis in most parts of Africa and Asia remains poorly documented as incidence and prevalence rates in these settings are extrapolated from hospital admissions. The surgical management of kidney and ureteral stones is based on the stone location, size, the patient’s preference and the institutional capacity. To date, the available modalities in the management of urolithiasis includes external shock wave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL), ureterorenoscopy (URS) including flexible and semirigid ureteroscopy. However, regarding the lack of endourological equipment and expertise in most parts of Sub-Saharan Africa (SSA), most urological centers in these regions still consider open surgery for kidney and ureteral stones. This review explores the current trend and surgical management of upper tract urolithiasis in SSA with insight on the available clinical guidelines.

Keywords: endourology, kidney stones, ureteral stones, urolithiasis

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