Surgical treatment options and its adverse outcomes among patients with urolithiasis at KCMC, 2014 to 2018

Abstract

Purpose: The study aimed to evaluate surgical treatment options and its adverse outcomes among patients with urolithiasis at Kilimanjaro Christian Medical Centre (KCMC). All patients who were diagnosed with urolithiasis and underwent surgical intervention from January 2014 to December 2018 were enrolled.
Method and material: This was a hospital based descriptive cross-sectional study conducted at the institute of urology, KCMC, Moshi, Tanzania. Urology theatre registry was used to obtain patients’ registration numbers then the files were retrieved from medical records. Relevant information was extracted using structured data collection tool. STATA version 14.1 was used for analysis and a P value of 0.05 was regarded to be statistically significant.
Results: Among seventy-eight subjects, sixty-two were males and sixteen were females with male to female ratio of 3.8:1. Patients aged 4 years to 90 years. Majority 57 (73.1%) underwent open surgery treatment and only 17 (21.8%) had adverse outcome after treatment. In multivariate analysis patients treated with endoscopy had more than six times higher odds of adverse outcomes compared to counterpart though this was not statistically significant (OR: 6.65; 95% CI: 0.82, 53.87)
Conclusion: Open surgeries have been observed to have better outcome compared to endoscopy surgeries among urolithiasis patients as most of the adverse outcomes were more observed among patients treated with endoscopy