No abstract

Background:Breast cancer is now the commonest female malignancy worldwide. The prognosis of such depends on the histopathological type, biological behavior, stage at presentation, availability of adequate oncological services.Aims and Objectives:The aim of this this study is to evaluate the statistics and challenges of breast cancer management in the study centre and compare with other centres.Materials and Methods:This is a prospective, descriptive study that spanned over a period of 4 years (January 2015-December 2018). The study was carried out in the General surgery division of the Surgery Department of the Federal Medical Centre, Keffi.Results:A total of 199 patients were recruited into this study out of which 196 (98.25%) were females and 3 (1.5%) were males. Their age ranged between 20-60 years. The commonest histopathological variant diagnosed is invasive ductal carcinoma (NOS). Early presentation was seen in 54 (<30%) while 145 (>70%) patients had late clinical presentation.Conclusion:Diagnosing and managing breast cancers successfully are mitigated my myriads of factors. Public awareness and provision of adequate care facilities will improve overall survival.

Strangulation of the phallus by metallic ring is an uncommon emergency in our environment however its presentation requires urgent intervention and treatment. There is a need to remove any entrapped ring by the most efficient method with minimal complications. We present a case of phallic strangulation caused by metal ring insertion in a known drug addict. The metallic ring was successfully removed using a metal clamp. Phallic strangulation by metallic ring can be properly managed using available mechanical tool in a timely manner in an emergency setting.

Fractured penis is reported as a traumatic rupture of the tunica albuginea by following blunt injury to an upright penis. Though a rare urological emergency due to blunt trauma to a turgid penis. The rupture of the tunica albuginea is often single involving either of the two corpora cavernosa; however concomitant urethral injury is an exceptionally infrequent condition requiring primary urethral anastomosis. Many of the patients are likely to have urethral strictures following surgery. Buccal mucosal graft is repeatedly used for substitution urethroplasty in urethral stricture management; however, its use is not commonly reported for immediate treatment in the background of fractured penis. Herewith is the report of a 33-year-old male with rupture of both corpora cavernosa, as well urethral rupture, after coitus. The urethral injury was repaired using buccal mucosal graft. At follow-up, patient did not encounter erectile or voiding issues. The implementation of this technique would go a long way at ameliorating the occurrence of urethral strictures in these subsets of patients, however there is still room for larger sample-sized prospective studies in the future. Consistent with our index case, surgery for the fractured penis is expedient with a view to conserving urethral and sexual function.

Objective: Ureteric injuries following pelvic surgeries have been widely reported. It often causes severe morbidity and even mortality. It is generally agreed that the true incidence is difficult to determine as only patients who become symptomatic may present for intervention. The aim of this article was to document our 5-year experience in managing patients with post-hysterectomy ureteric injury. Materials and Methods: A retrospective review of all patients with ureteric injuries following hysterectomy managed at public and private hospitals between 2008 and 2013 was undertaken. Results: Seventeen injuries occurred in nine patients within the study period; eight patients sustained bilateral injuries. Ureteric ligation and transections were the most common. The left ureter was more commonly injured (58.8%) than the right. Ureteroneocystostomy was the most common method for treating injuries in the distal 2.5 cm of the ureter in this study. A mortality rate of 33.3% was recorded while all the other six patients had a favorable outcome. Conclusion: Early recognition and treatment guarantee a good outcome in the management of ureteric injuries.