Chemical composition of urinary calculi in Maiduguri, Nigeria. 2005

D S Mshelia, and B M Gali, and U H Naaya, and S A Habu
Depatment of Chemical Pathology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.

Urolithiasis is a common disorder in Maiduguri and constitutes a significant proportion of surgical diseases in Nigerian Hospitals today. Although, the analysis of the stones is an integral part of the assessment of stone formers, earlier report in Maiduguri did not dwell well on it. We therefore, carry out this study to report on the composition of urinary tract calculi removed during surgery at the University of Maiduguri Teaching Hospital and to find out if stone composition in the area changes with time. Fourty-nine urinary tract calculi removed in the surgery unit of the Hospital in 2003 were chemically analyzed in the Department of Chemical Pathology of the same Hospital. We also retrieved results of stones analyzed in 1989 (41) and 1999 (21) and compared the results with the 49 analyzed in 2003. The results showed a male preponderance with male: female ratio 12:1, and the calculi occurred more in the upper part of the tract (70.9%) than the lower part of the tract (29.1%). Calcium containing stones constituted the majority; 76.9%, uric acid/urate was associated with 16.3% of the stones while struvite constitutes 4.3%, xanthine 1.7% and cystine 0.9%. There was subsequent reduction of struvite stones with time. Urinary tract stone is common in Maiduguri. There is need for identification of risk factors of calculi formation in the environment to enable the health care providers plan preventive measures in order to reduce the high incidence in the area.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009549 Nigeria A republic in western Africa, south of NIGER between BENIN and CAMEROON. Its capital is Abuja. Federal Republic of Nigeria
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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