Résumé

Introduction:The objective was to present the results of our experience in the management of obstructive renal failure. Methodology: This was a descriptive study conducted over a four-year period. Patients diagnosed with obstructive renal failure were included. Data analysis was performed using Excel 2013 and R Studio software. Results:The prevalence was 5.3%. The male-to-female sex ratio was 7.6. The mean age was 62.32 years. Twenty-seven patients had acute kidney injury (AKI) and 25 had chronic kidney disease (CKD). Ultrasound in 36 cases (69.23%), abdominopelvic CT scan in 14 cases (26.92%), urethrocystoscopy (1.92%), and cystoscopy (1.92%) enabled the diagnosis. Etiologies were dominated by abdominal and pelvic tumors in 36 cases (69.23%), followed by lithiasis in 8 cases (15.38%). Rehydration, bladder catheterization, anemia correction, and hemodialysis sessions (3 patients with AKI and 11 patients with CKD) constituted the medical treatment received by our patients. Seventeen patients (32.69%) benefited from surgical management; surgical procedures included JJ stent placement, cystostomy, prostatectomy, lithotomy, nephrostomy, and tumor resection. In the AKI group, the mean serum creatinine at admission, which was 380.82 umol/L, decreased to 25.63 umol/L. In the CKD group, 9 (36%) patients showed significant improvement in eGFR at hospital discharge. Conclusion:This study demonstrates that urinary obstructive pathology is a cause of both acute and chronic renal failure.

Mot-clés :

Obstructive Renal Failure - Nephrology - General Reference Hospital Of Niamey-Niger