RESUMO
OBJECTIVE: In Morocco, few works on morpho-constitutional analysis of urinary calculi have been published, especially for patients in the region of Fez. This work aims to make a retrospective epidemiological study on the nature of urinary calculi with patients from the region of Fez and control the urine of the same patients after a period of three months to report on the risk of recurrence. METHOD AND PATIENTS: Urinary stones were collected mostly in the nephrology service and urology service at the Hassan II Hospital in Fez. These calculations after being dried for 24 hours at room temperature underwent a morphological analysis, followed by infrared spectroscopic analysis Fourier transform. After a period of about three months, morning urine of the same patients was analyzed by crystalluria to control the presence of crystals that reflect a risk of recurrence. RESULTS: In our series of 123 samples, the age of patients ranges from 2-79 years. The prevalence was higher for men with a sex ratio of 1.3. The results of the analysis calculations showed that 61% were formed of calcium oxalate and 15% of uric acid and 25% of stones were carbapatite, struvite, cystine The study by crystalluria urine revealed the presence of the crystals in 69% of patients' nephrolithiasis. CONCLUSION: The results of our study are conformed to the series of results in other regions of Morocco regarding the predominance of calcium oxalate stones. The presence of crystals in the urine of 69% of patients may indicate other recurrences. LEVEL OF EVIDENCE: 4.
Assuntos
Oxalato de Cálcio/análise , Ácido Úrico/análise , Cálculos Urinários/química , Cálculos Urinários/epidemiologia , Adolescente , Adulto , Idoso , Apatitas/análise , Criança , Pré-Escolar , Cistina/análise , Feminino , Hospitais Urbanos , Humanos , Masculino , Pessoa de Meia-Idade , Marrocos/epidemiologia , Prevalência , Recidiva , Estudos Retrospectivos , Espectroscopia de Infravermelho com Transformada de Fourier/métodosRESUMO
Objectifs: Evaluer les resultats de d'uretrorraphie termino-terminale dans le traitement des stenoses de l'uretre bulbaire et membraneux a travers l'etude de la serie de notre service et une revue recente de la litteraturePatients et methodes: Il s'agit d'une etude retrospective basee sur la revue des dossiers medicaux des patients ayant beneficies d'une Uretrorraphie Termino-Terminale (UTT) dans notre formation entre Fevrier 2006 et Fevrier 2010. La moyenne d'age des patients etait de38; 3 ans. L'etiologie du retrecissement uretral etait infectieuse et traumatique respectivement dans 40et 60des cas. Chez 68d'entre eux; le retrecissement uretral etait localise au niveau bulbaire et chez 32au niveau membraneux. Tous les patients avaient une stenoseunique inferieure a 2 cm a l'uretro-cystographie retrograde et mictionnelle.Resultats: La duree moyenne de suivi etait de 28 mois. Le taux de succes de l'uretrorraphie termino-terminale dans notre etude etait de 88. 12des patients avaient presente une recidive de la stenose. Tow patients (8) ayant une stenose bulbaire avaient rapporte des troubles ejaculatoires. Aucun de nos patients (0) n'avait presente ni dysfonction erectile ni incontinence suite a cette intervention.Conclusion: L'uretroplastie anastomotique termino-terminale permet des taux eleves de repermeabilisation uretrale apres une premiere procedure. Le taux de recidive de la stenose reste faible comparativement aux autres techniques chirurgicales. Les troubles ejaculatoires peuvent etre prevenus par une dissection minutieuse et une restitution anatomique des muscles bulbo-caverneux
