Eighty-one cases of urinary tract calculi in Nigerians seen at the University of Nigeria Teaching Hospital, Enugu, Nigeria, over a period of five years are reviewed. A relative incidence of 13 per 100,000 was established. At the time of presentation, 36 stones were found in the bladder, 21 in the kidneys, 20 in the ureters, one in the prostate and 3 in the urethra. Five patients had calculi at multiple sites. There was a male to female ratio of 5 : 1. Forty-one per cent of the calculi occurred in the 31-40 year age group, and 14.8% of cases were found in children. Over 80% of the calculi were secondary to obstruction, infection and immobilization. Only 15% were idiopathic. Urinary tract stone disease is rare in the Negroid race, as confirmed by this study on Nigerians. Avenues for further studies are suggested.
A new method of treating Fournier's gangrene is described in 13 patients. There was no mortality and the average hospital stay was 10 days. Considerable gain in man-hours and expense was recorded when compared with the old method of treatment with antibiotics and wound debridement.
Summary— A new method of treating Fournier's gangrene is described in 13 patients. There was no mortality and the average hospital stay was 10 days. Considerable gain in man‐hours and expense was recorded when compared with the old method of treatment with antibiotics and wound debridement.
Eighty-three cases of histologically diagnosed urinary tract cancers treated within 5 years at the Urology Unit of the University of Nigeria Teaching Hospital, Enugu, among Nigerian Igbos have been reviewed. Whereas cancer of the prostatic gland is the commonest, urethral and ureteric cancers are the rarest. Treatment modality except for cancer of the prostate is largely surgical.
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