Background: Urological emergencies constitute a significant part of emergency presentations in various referral centers. Data on the prevalence of these emergencies in West African sub-region are sparse. Objective: The study is aimed at determining the pattern of urological emergencies in our center and is geared towards bridging the gap in knowledge of the epidemiology of urological emergencies in this sub-region as a means of achieving efficient use of scarce resources. Subjects and Methods: It was a retrospective study of all urological emergency cases that presented over six years in a Federal University Teaching Hospital in Nigeria. Data were collected from emergency register and theatre logs. Data analysis was done using SPSS version 25. Results: A total of 267 patients presented with urological emergencies during the period of study with 258 (96.6%) men and 9 (3.4%) women. The mean age of the patients was 50.6 ± 20.8 years. Urinary retention was the most common urological emergency accounting for 159 (59.6%) cases followed by Fournier's gangrene 23 (8.6%) and testicular torsion 23 (8.6%). Bladder and ureteral injuries accounted for 5 (55.6%) of the urological emergency presentations in women while both injuries accounted for only 4 (1.6%) in men (P = 0.000). Urethral catheterization was the most commonly performed procedure 139 (52.1%), followed by percutaneous suprapubic cystostomy (SPC) 31 (11.6%). Conclusion: Urological emergencies have varying presentations in both sexes. Urinary retention, and acute scrotum were the most common urological emergencies in our facility. This knowledge can be used in emergency preparedness planning which involves personnel training and resource allocation.

Introduction: Prostate cancer (CaP) is the second most common cancer in men and the fifth most common cancer worldwide. The incidence in Nigeria is rising. Numerous challenges exist that prevent the successful management of these patients in this subregion. Aims and Objectives: This study aimed to report on the modes of presentation and difficulties encountered in managing patients with CaP in our environment with a view to finding solutions to these challenges. Materials and Methods: This was a retrospective study of all CaP patients who were managed in Alex-Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria over a 10-year period from 2012 to 2021. Data were collated using a pro forma. Numerical data were summarized as means, median, and standard deviation, whereas categorical data were summarized as frequencies. Statistical significance was pegged at P < 0.05. Results: Seventy-three patients were analysed. The mean age of the patients was 71.48 ± 8.15 years. The three most common presenting complaints were lower urinary tract symptoms (LUTSs) 23 (31.5%), acute urinary retention 9 (12.3%), and LUTS with low back pain 9 (12.3%). The median duration of symptoms was 6.5 months. No difference was noted among educational level, occupation, and stage of CaP, (P=0.222 and P=0.548), respectively. The median total prostate-specific antigen was 85.0 ng/mL. Sixty-seven patients (91.8%) had an abdominopelvic ultrasound scan. Fifty patients (68.5%) had stage 4 disease. Thirty-eight (52.1%) had financial constraints. Forty-nine (67.1%) patients were lost to follow-up. Bilateral orchidectomy was offered to 28 (38.4%) patients. Conclusion: Financial constraint was a huge barrier in the management of CaP patients in this study. Late presentation was common in this study.

Background: Abortion in Nigeria has been controversial, and both the proponents (protagonists) and opponents (antagonists) have good arguments. Proponents of the abortion prohibition law of Nigeria (the pro-life group) argue that human life is sacred and the right to life is basic; hence, on no account should one be deprived of that fundamental human right, not even the fetus in-utero. Objectives: This review aims to discuss the concepts of abortion and maternal mortality, analyze the Nigerian abortion laws, discuss issues and controversies with abortion in Nigeria as it relates to maternal mortality and morbidity; and discuss the contributions of this Law on maternal mortality and morbidity in Nigeria. Method: The relevant materials for this article were obtained from search engines such as PubMed and Google Scholar respectively. Conclusion: Reviewed literature reveals that many of the contributory factors to maternal mortality could be avoided if preventive measures were taken and adequate care was available. In view of this, efforts should be made by governments and policy makers towards the provision of safe, available and effective abortion care to Nigerian women at all levels of health care, most especially at the grass-root level, primary health care. The study also revealed a poor level of awareness of the Nigerian Abortion Law among women. It is therefore necessary to ensure the wide dissemination of the abortion law and its provisions to the Nigerian public in order to arm them with the necessary information to participate actively in campaigns on abortion law reforms.