Clinical and Therapetical Aspects of Lithiases of the Lower Urinary Appliance: Hospital Al Fousseyni Dao Kayes

Introduction: Lithiasis are hard formations that can be formed from certain components of urine and cause pain, signs of urinary tract infections, an obstruction of the flow of urine. They are quite rare in the child but in our cold weather more and more cause consumption of improper water. Objective: To report the clinical and therapeutic aspects of lithiasis of the lower urinary tract at Hospital Fousseyni Daou de Kayes. Patients and Methods: This was a retrospective study reporting on 16 cases of collapsed lower urinary tract lithiasis from January 2021 to December 2023 conducted in the Pediatric Surgery Service and Fousseyni Daou Hospital of Kayes. Results: During the study period we had encountered 16 cases of lower urinary tract lithiases out of 350 hospitalized patients either 4.57%. The median age was 8 years with extremes of 2 years and 14 years. 15 (93.75%) were of male sex and one was female (6.25%). Cytobacteriological examination was performed in 11 patients or 68.75% and Escherichia coli was isolated from 4 patients or 25% and Proteus was isolated from 6 patients or 37.5%. The biological balance was normal in all patients. Ultrasound allowed visualization of the calculus in all of our patients either 100% of which 2 were localized in the posterior urethra. Cystolithotomy was performed in all patients with 2 after refolding of the calculus in the bladder. The surgical sequelae were simple except for one case of vesico-cutaneous fistula.