Diagnosis and Management of Renal Trauma in Two University Teaching Hospitals in Burkina Faso

Abdoul-Karim Ouattara; Brahima Kirakoya; Hassami Sawadogo; Yannick Jean Rodrigue Pingdwende Traore; Fatao Ouedraogo; Clotaire Alexis Marie Kiemdiba Donega Yameogo; Abdoul-Karim Pare; Adama Ouattara; Fasnewinde Aristide Kabore

doi:doi:10.11648/j.ijcu.20261001.14

Research Article |

| Peer-Reviewed

Diagnosis and Management of Renal Trauma in Two University Teaching Hospitals in Burkina Faso

Abdoul-Karim Ouattara^*

, Brahima Kirakoya

, Hassami Sawadogo

, Yannick Jean Rodrigue Pingdwende Traore

, Fatao Ouedraogo

, Clotaire Alexis Marie Kiemdiba Donega Yameogo

, Abdoul-Karim Pare

, Adama Ouattara

, Fasnewinde Aristide Kabore

Published in International Journal of Clinical Urology (Volume 10, Issue 1)

Received: 15 January 2026 Accepted: 26 January 2026 Published: 24 February 2026

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Introduction: Renal trauma, resulting from external mechanical injury, impacts both renal and vital prognosis, particularly in severe cases. In Africa, the predominant etiologies are road traffic accidents and falls. This study describes the diagnostic and therapeutic profile of renal trauma in two university teaching hospitals in Burkina Faso. Methods: A descriptive retrospective study was conducted over 5 years (2019-2023), including all patients managed for renal trauma. Sociodemographic, clinical, paraclinical, and therapeutic data were analyzed. Results: Forty cases were collected. The mean age was 25.5 years, with a male predominance (85%). Road traffic accidents accounted for 75% of causes. Clinically, lumbar pain (92.5%) and hematuria (77.7%) were common. All patients underwent CT urography (CTU), classifying lesions according to the AAST scale: grades IV (50%) and III (35%) predominated. Conservative management was applied in 95% of patients, including bed rest, analgesia, antibiotic therapy (57.5%), and blood transfusion (27.5%). Nephrectomy (5%) was required for hemodynamic instability or persistent life-threatening hematuria. The outcome was favorable for the majority, with complications (persistent urinoma/hematoma, abscess) in a few high-grade patients. Discussion: The patient profile (young active males) and etiology (road traffic injuries) are consistent with regional data. CTU is established as the key examination for assessment. The high rate of conservative management, even for grades III-IV, confirms this strategy as the standard for stable patients, allowing preservation of nephron mass without increased morbidity. Nephrectomy remains exceptional. Loss to follow-up limits the evaluation of long-term outcomes. Conclusion: Renal trauma in Burkina Faso primarily affects young males involved in road traffic accidents. Its management, largely conservative thanks to the contribution of CTU, is effective. Road safety prevention constitutes a major focus for reducing the incidence of these injuries.

Published in	International Journal of Clinical Urology (Volume 10, Issue 1)
DOI	10.11648/j.ijcu.20261001.14
Page(s)	14-18
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2026. Published by Science Publishing Group

Keywords

Renal Trauma, Traumatology, CT Urography, Conservative Management, Burkina Faso

1. Introduction

Renal trauma refers to any injury to the kidney and its immediate surroundings resulting from an external force. The injury mechanism is most often related to direct impact or rapid deceleration

[1]

. It affects renal functional prognosis and potentially the patient's vital prognosis in high-grade injuries

[2]

. Etiologies in the African context are dominated by road traffic accidents and falls

[1, 3, 4]

, as well as landslides at artisanal mining sites. It predominantly affects young individuals in their active professional years. The assessment of renal trauma has benefited from advances in imaging, particularly the improved availability and accessibility of CT urography in our setting. The prognosis remains generally good across all grades

[1]

, making conservative treatment the rule to preserve nephron mass. However, nephrectomy remains justified in certain situations such as hemodynamic instability, persistent hematuria, associated digestive injuries, and is associated with mortality reaching 30%

[5]

. The present study aims to describe the diagnostic, therapeutic, and outcome modalities in two university teaching hospitals in the country's two main cities (Ouagadougou and Bobo-Dioulasso).

2. Patients and Methods

This was a descriptive cross-sectional study with retrospective data collection, conducted over a period of five (05) years, from January 1, 2019, to December 31, 2023. The study was carried out in the urology departments of the Yalgado Ouédraogo University Teaching Hospital in Ouagadougou and the Souro Sanou University Teaching Hospital in Bobo-Dioulasso. The study included all patient records from these two hospitals where a diagnosis of renal trauma was made. Sampling was exhaustive. The studied parameters included sociodemographic, clinical, paraclinical, and therapeutic characteristics. Data were collected using standardized individual forms, then entered and analyzed using Epi Info software, version 7.2.4. Quantitative variables were described by their means and standard deviations, while qualitative variables were presented as frequencies and percentages. Authorization for data collection was obtained from the hospital administrations, and anonymity was respected.

3. Results

Table 1. Distribution of patients according to sociodemographic characteristics (N=40).

Sociodemographic Characteristics	Frequency (n)	Percentage (%)
Age Group
< 10	1	2.5
[10 - 20]	14	35
[20 - 30]	17	42.5
[30 - 40]	3	7.5
[40 - 50]	2	5
[50 - 60]	1	2.5
≥ 60	2	5
Gender
Male	34	85
Female	6	15
Residence
Urban area	27	67.5
Rural area	13	32.5
Occupation
Pupil/Student	15	37.5
Merchant	10	25
Farmer	09	22.5
Civil Servant	02	05
Unemployed	04	10
Total	40	100

We collected forty (40) cases of renal trauma over the 5-year period, i.e., 8 cases per year. The mean age of our patients was 25.5 ± 12.62 years (range 8 to 65 years). Males represented 85% of patients with a sex ratio of 5.7. Table 1 shows the distribution of patients according to sociodemographic characteristics. The distribution of patients by profession is represented in Table 1.

Download: Download full-size image

Figure 1. Distribution of patients according to circumstances of occurrence (N=40).

Road traffic accidents were the most represented cause in 30 cases (75%), followed by falls with 6 cases (15%), then fights/assaults in 3 cases (7.5%). The mean time to consultation was 2.5 days, with extremes of 1 hour and 14 days. The distribution of patients according to the circumstances of occurrence is illustrated in Figure 1.

In our study, lumbar fossa pain was found in 37 patients (92.5%). Hematuria was present in 31 patients (77.7%). The trauma affected the right side in 62.5% of cases versus 37.5% for the left side. The trauma was blunt in 95% of cases. The distribution of patients according to clinical examination findings is represented in Table 2.

Table 2. Distribution of patients according to clinical examination data (N=40).

Clinical Examination	Frequency (n)	Percentage (%)
Symptoms
Pain	37	92.5
Hematuria	31	77.7
Hemodynamic Status
Stable	39	97.5
Unstable	1	2.5
Physical Signs
Lumbar Swelling	5	12.5
Lumbar Wound	2	5
Lumbar Fossa Abrasion	1	2.5
Lumbar Fossa Induration	7	17.5
Lumbar Guarding	3	7.5
Lumbar Fossa Tenderness	1	2.5
Normal Physical Exam	21	52.5
Total	40	100

Regarding laboratory tests, 29 patients presented with anemia with a hemoglobin (Hb) level between 4 and 11 g/dL. Among these patients, 11 had a hemoglobin level between 4 and 7 g/dL and received iso-group, iso-rhesus blood transfusions. Elevated serum creatinine was found in five patients.

Regarding medical imaging, 25 of our patients had undergone an abdominal ultrasound. The distribution of patients according to abdominal ultrasound results is represented in Figure 2.

CT urography was performed on all our patients. It was used for the AAST (American Association for the Surgery of Trauma) classification of renal trauma. The most represented grade was grade IV found in 20 patients (50%), followed by grade III in 14 patients (35%). Two patients (5%) had AAST grade 5 trauma and 4 patients (10%) grade II.

Some additional examinations had been requested, such as a craniofacial CT scan, a clavicle radiograph, and a pelvic radiograph in one case each of frontal sinus and orbital roof fracture, one case of clavicle fracture, and one case of left iliac wing fracture, respectively.

Regarding treatment, thirty-eight patients (95%) received conservative management only. The 2 other patients underwent nephrectomy. Table 3 summarizes the different therapeutic modalities performed.

Table 3. Summary of the different therapeutic modalities performed.

Therapeutic Modalities	Frequency	Percentages (%)
Conservative Management	38	95
Strict Bed Rest	3	7.5
Analgesia	40	100
Antibiotic Therapy	23	57.5
Blood Transfusion	11	27.5
Nephrectomy	2	5

The indications for nephrectomy were respectively one case of trauma complicated by severe anemia due to life-threatening hematuria in a patient operated on the third day post-trauma, and one case of hemodynamic instability in a patient operated on the second day post-trauma.

Regarding outcomes, pain and hematuria resolved in all patients. The mean hospital stay was 12.6 days, ranging from 4 to 31 days.

As follow-up imaging at one week, thirty (30) patients (75%) underwent a repeat CT urography, while the other ten (10) patients (25%) underwent an abdominal ultrasound. This follow-up imaging revealed 6 cases of urinoma/hematoma (30%).

At one month post-trauma, there was 1 case of persistent urinoma/hematoma on imaging and 1 case of renal abscess for AAST grade IV traumas. These two cases underwent CT-guided drainage with favorable outcomes.

4. Discussion

The present study reports the experience of two reference University Teaching Hospitals in Burkina Faso in the management of renal trauma over a five-year period. The observed frequency of 40 cases remains relatively low, consistent with African literature data where renal trauma accounts for less than 5% of all urogenital trauma

[6-8]

. This low incidence could be explained by underreporting of minor cases, pre-hospital mortality of severe trauma, and variable accessibility to reference centers.

Epidemiologically, the mean age of 25.5 years and the clear male predominance observed in our series confirm that renal trauma primarily affects young males, in active socio-professional life. This profile is widely reported in African and Western series

[8, 9]

, reflecting greater exposure to high-energy trauma in this age group.

Road traffic accidents were the main circumstance of occurrence (75%), followed by falls and fights. This predominance of road traffic injuries is consistent in the African literature

[3, 4, 6, 9]

, linked to the increase in the motorcycle fleet, non-compliance with road safety measures, and aging infrastructure. In our context, injuries on artisanal gold mining sites deserve special attention in future studies.

Clinically, lumbar pain and hematuria were the most frequently reported signs, as noted by several authors

[9, 10]

. However, the absence of hematuria does not exclude severe renal injury, hence the importance of systematic imaging in any patient with suspected renal trauma. The majority of patients were hemodynamically stable, explaining the predominant use of conservative management.

The contribution of CT urography was central in our series. Performed on all patients, it allowed precise injury assessment and classification according to AAST. The predominance of grade III and IV trauma contrasts with some African series dominated by grades I and II

[9]

, but aligns with data from Lakmichi et al.

[3]

, suggesting preferential recruitment of more severe trauma in reference centers. CT urography remains the gold standard examination for diagnosing and assessing the severity of renal trauma

[1, 10]

Therapeutically, conservative management was observed in 95% of patients, including for high-grade (III and IV) trauma, with favorable outcomes in the majority of cases. These results confirm the central role of conservative management, now recommended even for severe renal trauma in stable patients

[1, 3, 9, 10]

. This strategy preserves nephron mass without increasing morbidity.

Nephrectomy was indicated in only two cases (5%), due to hemodynamic instability and persistent life-threatening hematuria. This low rate aligns with literature data showing that radical surgery has become exceptional and reserved for well-defined situations

[2, 5]

. Bergerat et al. showed that emergency nephrectomy remains associated with high mortality, reaching 30%

[5]

The overall outcome was favorable, with resolution of pain and hematuria in all patients. The complications observed in the short and medium term, notably persistent urinoma/hematoma and one case of renal abscess, mainly concerned grade IV trauma, as reported by Freton et al.

[10]

. However, medium- and long-term follow-up remains insufficiently documented in our series, due to loss to follow-up of many patients, constituting a major limitation of the study.

5. Conclusion

Renal trauma remains a relatively uncommon condition in hospital settings in Burkina Faso, predominantly affecting young males and occurring most often following road traffic accidents. Beyond hospital management, primary prevention, particularly through strengthening road safety measures and raising awareness among at-risk young populations, constitutes a major focus for reducing the incidence and severity of renal trauma in our context.

Abbreviations

AAST	American Association for the Surgery of Trauma
CTU	Computed Tomography Urography
Hb	Hemoglobin
CT	Computed Tomography

Author Contributions

Abdoul-Karim Ouattara: Conceptualization, Investigation, Methodology, Supervision, Validation, Writing – original draft, Writing – review & editing

Brahima Kirakoya: Conceptualization, Investigation, Methodology, Supervision, Validation, Writing – original draft, Writing – review & editing

Hassami Sawadogo: Conceptualization, Investigation, Methodology, Supervision, Validation, Writing – original draft, Writing – review & editing

Yannick Jean Rodrigue Pingdwende Traore: Writing – original draft, Writing – review & editing

Fatao Ouedraogo: Writing – original draft, Writing – review & editing

Clotaire Alexis Marie Kiemdiba Donega Yameogo: Writing – original draft, Writing – review & editing

Abdoul-Karim Pare: Writing – original draft, Writing – review & editing

Adama Ouattara: Writing – original draft, Writing – review & editing

Fasnewinde Aristide Kabore: Conceptualization, Investigation, Methodology, Supervision, Validation, Writing – original draft, Writing – review & editing

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Long JA, Boissier R, Savoie PH. Renal parenchyma trauma and general trauma guidelines. Progres en Urology. 2021 Nov 1; 31(15): 100113. https://doi.org/10.1016/j.purol.2021.07.001
[2]	Long JA, Savoie PH, Boissier R. Management of complications of upper urinary tract trauma (kidney and ureter). Progres en Urologie. 2021 Nov 1; 31(15): 1014-21.
[3]	Lakmichi MA, Jarir R, Sadiki B, Zehraoui, Bentani, Wakrim B, et al. Management of severe renal trauma. Pan Afr Med J. 2015 Feb 10; 20: 116. https://doi.org/10.1016/j.purol.2021.07.009
[4]	Kambou T, Ouattara A, Zare C. Urogenital trauma: epidemiological profile and injury patterns at the Souro Sanon University Hospital in Bobo Dioulasso (Burkina Faso). Uro-Andro. 2014 Sep 8; 1(2). https://revue-uroandro.org/index.php/uro-andro/article/view/3
[5]	Bergerat S, Fiard G, Panayotopoulos P, Pradere B, Betari R, Freton L, et al. Predictive factors for emergency nephrectomy following renal trauma. Results of the national multicenter Traumafuf study. Progres en Urologie. 2016 Nov 1; 26(13): 7967. https://doi.org/10.1016/j.purol.2016.07.254
[6]	Kambou T, Ouattara A. Urgent and delayed management of urogenital trauma at the Souro Sanon University Hospital in Bobo-Dioulasso. African Journal of Urology. 2017 Dec 1; 23(4): 306-10. https://doi.org/10.1016/j.afju.2016.11.001
[7]	Agbo CA, Nwachukwu CG, Muhammad MY. Epidemiology and Management Outcome of Urogenital Trauma in Lafia, Nigeria. Journal of West African College of Surgeons: https://doi.org/10.4103/jwas.jwas_24_25.
[8]	Moningo DM, Kashitu GM, Loposso MN, Tshitala DB, Bossa JN, Diangienda PN, et al. Epidemiological and outcome profile of male urogenital system traumas at the Kinshasa University Hospital: Epidemiological and evolutionary profile of the male urogenital system traumas at the Kinshasa University Hospital. Annales Africaines de Medecine. 2018; 11(3): 2900-5. https://doi.org/10.4314/aamed.v11i3
[9]	Kane R, Ndiaye A, Diouf M. Management of closed renal trauma: a series of 35 cases. Uro-Andro. 2014 Sep 8; 1(2). https://revue-uroandro.org/index.php/uro-andro/article/view/6
[10]	Freton L, Pradere B, Fiard G, Chebbi A, Caes T, Hutin M, et al. Renal trauma. Progrès en Urologie. 2019 Nov 1; 29(15): 936-42. https://doi.org/10.1016/j.purol.2019.09.007

Cite This Article

Plain Text BibTeX RIS

APA Style

Ouattara, A., Kirakoya, B., Sawadogo, H., Traore, Y. J. R. P., Ouedraogo, F., et al. (2026). Diagnosis and Management of Renal Trauma in Two University Teaching Hospitals in Burkina Faso. International Journal of Clinical Urology, 10(1), 14-18. https://doi.org/10.11648/j.ijcu.20261001.14

Copy | Download

ACS Style

Ouattara, A.; Kirakoya, B.; Sawadogo, H.; Traore, Y. J. R. P.; Ouedraogo, F., et al. Diagnosis and Management of Renal Trauma in Two University Teaching Hospitals in Burkina Faso. Int. J. Clin. Urol. 2026, 10(1), 14-18. doi: 10.11648/j.ijcu.20261001.14

Copy | Download

AMA Style

Ouattara A, Kirakoya B, Sawadogo H, Traore YJRP, Ouedraogo F, et al. Diagnosis and Management of Renal Trauma in Two University Teaching Hospitals in Burkina Faso. Int J Clin Urol. 2026;10(1):14-18. doi: 10.11648/j.ijcu.20261001.14

Copy | Download

@article{10.11648/j.ijcu.20261001.14,
  author = {Abdoul-Karim Ouattara and Brahima Kirakoya and Hassami Sawadogo and Yannick Jean Rodrigue Pingdwende Traore and Fatao Ouedraogo and Clotaire Alexis Marie Kiemdiba Donega Yameogo and Abdoul-Karim Pare and Adama Ouattara and Fasnewinde Aristide Kabore},
  title = {Diagnosis and Management of Renal Trauma in Two University Teaching Hospitals in Burkina Faso},
  journal = {International Journal of Clinical Urology},
  volume = {10},
  number = {1},
  pages = {14-18},
  doi = {10.11648/j.ijcu.20261001.14},
  url = {https://doi.org/10.11648/j.ijcu.20261001.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20261001.14},
  abstract = {Introduction: Renal trauma, resulting from external mechanical injury, impacts both renal and vital prognosis, particularly in severe cases. In Africa, the predominant etiologies are road traffic accidents and falls. This study describes the diagnostic and therapeutic profile of renal trauma in two university teaching hospitals in Burkina Faso. Methods: A descriptive retrospective study was conducted over 5 years (2019-2023), including all patients managed for renal trauma. Sociodemographic, clinical, paraclinical, and therapeutic data were analyzed. Results: Forty cases were collected. The mean age was 25.5 years, with a male predominance (85%). Road traffic accidents accounted for 75% of causes. Clinically, lumbar pain (92.5%) and hematuria (77.7%) were common. All patients underwent CT urography (CTU), classifying lesions according to the AAST scale: grades IV (50%) and III (35%) predominated. Conservative management was applied in 95% of patients, including bed rest, analgesia, antibiotic therapy (57.5%), and blood transfusion (27.5%). Nephrectomy (5%) was required for hemodynamic instability or persistent life-threatening hematuria. The outcome was favorable for the majority, with complications (persistent urinoma/hematoma, abscess) in a few high-grade patients. Discussion: The patient profile (young active males) and etiology (road traffic injuries) are consistent with regional data. CTU is established as the key examination for assessment. The high rate of conservative management, even for grades III-IV, confirms this strategy as the standard for stable patients, allowing preservation of nephron mass without increased morbidity. Nephrectomy remains exceptional. Loss to follow-up limits the evaluation of long-term outcomes. Conclusion: Renal trauma in Burkina Faso primarily affects young males involved in road traffic accidents. Its management, largely conservative thanks to the contribution of CTU, is effective. Road safety prevention constitutes a major focus for reducing the incidence of these injuries.},
 year = {2026}
}

Copy | Download

TY - JOUR
T1 - Diagnosis and Management of Renal Trauma in Two University Teaching Hospitals in Burkina Faso
AU - Abdoul-Karim Ouattara
AU - Brahima Kirakoya
AU - Hassami Sawadogo
AU - Yannick Jean Rodrigue Pingdwende Traore
AU - Fatao Ouedraogo
AU - Clotaire Alexis Marie Kiemdiba Donega Yameogo
AU - Abdoul-Karim Pare
AU - Adama Ouattara
AU - Fasnewinde Aristide Kabore
Y1 - 2026/02/24
PY - 2026
N1 - https://doi.org/10.11648/j.ijcu.20261001.14
DO - 10.11648/j.ijcu.20261001.14
T2 - International Journal of Clinical Urology
JF - International Journal of Clinical Urology
JO - International Journal of Clinical Urology
SP - 14
EP - 18
PB - Science Publishing Group
SN - 2640-1355
UR - https://doi.org/10.11648/j.ijcu.20261001.14
AB - Introduction: Renal trauma, resulting from external mechanical injury, impacts both renal and vital prognosis, particularly in severe cases. In Africa, the predominant etiologies are road traffic accidents and falls. This study describes the diagnostic and therapeutic profile of renal trauma in two university teaching hospitals in Burkina Faso. Methods: A descriptive retrospective study was conducted over 5 years (2019-2023), including all patients managed for renal trauma. Sociodemographic, clinical, paraclinical, and therapeutic data were analyzed. Results: Forty cases were collected. The mean age was 25.5 years, with a male predominance (85%). Road traffic accidents accounted for 75% of causes. Clinically, lumbar pain (92.5%) and hematuria (77.7%) were common. All patients underwent CT urography (CTU), classifying lesions according to the AAST scale: grades IV (50%) and III (35%) predominated. Conservative management was applied in 95% of patients, including bed rest, analgesia, antibiotic therapy (57.5%), and blood transfusion (27.5%). Nephrectomy (5%) was required for hemodynamic instability or persistent life-threatening hematuria. The outcome was favorable for the majority, with complications (persistent urinoma/hematoma, abscess) in a few high-grade patients. Discussion: The patient profile (young active males) and etiology (road traffic injuries) are consistent with regional data. CTU is established as the key examination for assessment. The high rate of conservative management, even for grades III-IV, confirms this strategy as the standard for stable patients, allowing preservation of nephron mass without increased morbidity. Nephrectomy remains exceptional. Loss to follow-up limits the evaluation of long-term outcomes. Conclusion: Renal trauma in Burkina Faso primarily affects young males involved in road traffic accidents. Its management, largely conservative thanks to the contribution of CTU, is effective. Road safety prevention constitutes a major focus for reducing the incidence of these injuries.
VL - 10
IS - 1
ER -

Copy | Download

Author Information

Abdoul-Karim Ouattara

Department of Urology, Manga Regional Hospital, Manga, Burkina Faso

Contact Email

http://orcid.org/0009-0008-2280-548X
Brahima Kirakoya

Department of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

http://orcid.org/0000-0003-4942-7278
Hassami Sawadogo

Department of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

http://orcid.org/0009-0003-1292-4892
Yannick Jean Rodrigue Pingdwende Traore

Department of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

http://orcid.org/0009-0002-1006-0499
Fatao Ouedraogo

Department of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

http://orcid.org/0009-0006-8120-5009
Clotaire Alexis Marie Kiemdiba Donega Yameogo

Department of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

http://orcid.org/0000-0003-3894-9142
Abdoul-Karim Pare

Division of Urology, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso

http://orcid.org/0000-0003-3444-5035
Adama Ouattara

Division of Urology, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso

http://orcid.org/0000-0001-8910-0806
Fasnewinde Aristide Kabore

Department of Urology, Manga Regional Hospital, Manga, Burkina Faso

http://orcid.org/0000-0003-4967-6274

Download PDF

Submit an Article

Figure 1

Figure 1. Distribution of patients according to circumstances of occurrence (N=40).

Plain Text BibTeX RIS

APA Style

Ouattara, A., Kirakoya, B., Sawadogo, H., Traore, Y. J. R. P., Ouedraogo, F., et al. (2026). Diagnosis and Management of Renal Trauma in Two University Teaching Hospitals in Burkina Faso. International Journal of Clinical Urology, 10(1), 14-18. https://doi.org/10.11648/j.ijcu.20261001.14

Copy | Download

ACS Style

Ouattara, A.; Kirakoya, B.; Sawadogo, H.; Traore, Y. J. R. P.; Ouedraogo, F., et al. Diagnosis and Management of Renal Trauma in Two University Teaching Hospitals in Burkina Faso. Int. J. Clin. Urol. 2026, 10(1), 14-18. doi: 10.11648/j.ijcu.20261001.14

Copy | Download

AMA Style

Ouattara A, Kirakoya B, Sawadogo H, Traore YJRP, Ouedraogo F, et al. Diagnosis and Management of Renal Trauma in Two University Teaching Hospitals in Burkina Faso. Int J Clin Urol. 2026;10(1):14-18. doi: 10.11648/j.ijcu.20261001.14

Copy | Download

@article{10.11648/j.ijcu.20261001.14,
  author = {Abdoul-Karim Ouattara and Brahima Kirakoya and Hassami Sawadogo and Yannick Jean Rodrigue Pingdwende Traore and Fatao Ouedraogo and Clotaire Alexis Marie Kiemdiba Donega Yameogo and Abdoul-Karim Pare and Adama Ouattara and Fasnewinde Aristide Kabore},
  title = {Diagnosis and Management of Renal Trauma in Two University Teaching Hospitals in Burkina Faso},
  journal = {International Journal of Clinical Urology},
  volume = {10},
  number = {1},
  pages = {14-18},
  doi = {10.11648/j.ijcu.20261001.14},
  url = {https://doi.org/10.11648/j.ijcu.20261001.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20261001.14},
  abstract = {Introduction: Renal trauma, resulting from external mechanical injury, impacts both renal and vital prognosis, particularly in severe cases. In Africa, the predominant etiologies are road traffic accidents and falls. This study describes the diagnostic and therapeutic profile of renal trauma in two university teaching hospitals in Burkina Faso. Methods: A descriptive retrospective study was conducted over 5 years (2019-2023), including all patients managed for renal trauma. Sociodemographic, clinical, paraclinical, and therapeutic data were analyzed. Results: Forty cases were collected. The mean age was 25.5 years, with a male predominance (85%). Road traffic accidents accounted for 75% of causes. Clinically, lumbar pain (92.5%) and hematuria (77.7%) were common. All patients underwent CT urography (CTU), classifying lesions according to the AAST scale: grades IV (50%) and III (35%) predominated. Conservative management was applied in 95% of patients, including bed rest, analgesia, antibiotic therapy (57.5%), and blood transfusion (27.5%). Nephrectomy (5%) was required for hemodynamic instability or persistent life-threatening hematuria. The outcome was favorable for the majority, with complications (persistent urinoma/hematoma, abscess) in a few high-grade patients. Discussion: The patient profile (young active males) and etiology (road traffic injuries) are consistent with regional data. CTU is established as the key examination for assessment. The high rate of conservative management, even for grades III-IV, confirms this strategy as the standard for stable patients, allowing preservation of nephron mass without increased morbidity. Nephrectomy remains exceptional. Loss to follow-up limits the evaluation of long-term outcomes. Conclusion: Renal trauma in Burkina Faso primarily affects young males involved in road traffic accidents. Its management, largely conservative thanks to the contribution of CTU, is effective. Road safety prevention constitutes a major focus for reducing the incidence of these injuries.},
 year = {2026}
}

Copy | Download