Percutaneous Nephrolithotomy (PCNL): First Experience in Mali

Objective: The aim of this study was to evaluate the results of our first experience in practising NLPC in Mali. 

Patients and Methods: This is a descriptive cross-sectional study conducted in the urology departments of the Point G University Hospital and the ALMED Polyclinic in Bamako from August 2021 to November 2023, a period of 25 months. Patients who underwent SLIP for lithiasis during the study period were included in this
study.

Results: A total of 43 cases of SLPS were performed during our study. The average age in our case series was 39 years, with extremes ranging from 6 to 78 years. The most represented age group was that of. Males were in the majority, accounting for 53.5% of cases, with a sex ratio of 1.15. The right kidney was the most affected, accounting for 55.81% of cases. Pyelic localisation was the most common, accounting for 51.16% of cases. The majority of stones were larger than 20 mm, accounting for 56% of cases. The average density was 1176 HU. Ultrasound was the energy source used to fragment the stones in 88.37% of cases. Stone-free status was achieved in 55.82% of cases. Postoperative recovery was uneventful in 42 patients (97.67%).

Conclusion: PCNL is a safe and reproducible technique in our country, and mastery of the technique significantly reduces complications.

Keywords: Nephrolithotomy, Percutaneous, Lithiasis, Experience, Mali.