Analysis of admissions in a West African urology centre: A crux in urologic capacity building

Abdulkadir, Adekunle Y

doi:10.4103/2278-9596.194986

Cited by 8 publications

(16 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The preponderance of male patients in our study is consistent with previous studies conducted in the subregions. [ 11 15 16 17 ] This may partly be because the urologist manages genital and urinary tract diseases in male patients as opposed to mainly urinary tract diseases in females.…”

Section: Discussionmentioning

confidence: 99%

“…[ 18 ] Majority of the patients were between 51 and 60 years, which is in variance with aforementioned study which recorded 61–70 years as the modal age of their patients. [ 15 ] However, the age ranges characterize the age of presentation of BPE and prostate cancers which are leading diseases seen in our environment. The bulk of study population fell into two bimodal peak ages of presentation with the first peak lying between 21 and 40 years, whereas the second peak between 51 and 70 years.…”

Section: Discussionmentioning

confidence: 99%

“…Our finding is similar to the Kano study whereby benign prostatic hyperplasia led the diagnosis among inpatients seen in 44.24% of the patients. [ 15 ] As the life expectancy of our people increase with improved living conditions, more men will be expected to live beyond 50 years when LUTS from prostatic diseases predominate. [ 28 ] Bladder tumor was the second leading cases of urologic ailments in 11.86% new patients as opposed to earlier study in the region which found urethral stricture as the second leading cause of inpatient admission.…”

Section: Discussionmentioning

confidence: 99%

“…[ 28 ] Bladder tumor was the second leading cases of urologic ailments in 11.86% new patients as opposed to earlier study in the region which found urethral stricture as the second leading cause of inpatient admission. [ 15 ] This is followed by upper tract urinary calculi in 10.38%. The significant burden of stone disease found in this review involving the kidneys and ureters may be related to the hot weather condition of Sokoto which is a prominent cause of dehydration and recognized risk factor in the etiopathogenesis of urinary stone formation.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Spectrum of Urological Cases in a West African Tertiary Hospital

Mungadi

Khalid

2021

Annals of African Medicine

View full text Add to dashboard Cite

Context: Urological diseases vary from one geographical location to another worldwide. The knowledge of their distribution in each location could determine local workforce and facility needs and as well guide the areas of subspecialization. Aims: The aim of this study is to document the annual frequency and distribution of urological diseases at the Usmanu Danfodiyo University Teaching Hospital, Sokoto. Settings and Design: A cross-sectional retrospective study from January 2016 to December 2016 of all new patients seen at the urology outpatient clinic, emergency department as well as inpatient referrals from other departments of Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. Materials and Methods: The relevant records were extracted from the patient's case notes and entered into a semistructured questionnaire. Statistical Analysis Used: Data were analyzed using the SPSS software version 20. Results: A total of 607 new patients were seen over the study period. There were 576 (94.9%) males and 31 (5.1%) females, with a male-to-female ratio of 18.6:1. The median age was 45 years, with age range of 1–106 years. Urological emergencies were seen in 35.0% patients. Ninety-one percent of cases were acquired, whereas 8.2% were of congenital etiology. Overall, the most commonly diagnosed urologic diseases among new patients in order of decreasing frequency were benign prostatic enlargement (BPE) (18.6%), bladder tumor (11.8%), upper tract urinary calculi (10.3%), urethral stricture (8.9%), and prostate adenocarcinoma (7.4%). Conclusions: BPE, bladder tumor, upper tract urinary calculi, urethral stricture, and prostate adenocarcinoma are common in our environment. Knowledge of these diseases distribution may guide service expansion and workforce needs, inspire subspecialization as well as direct research and government policy in this community. Nongovernmental organizations wanting to have impact will be suitably directed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Spectrum of Urological Cases in a West African Tertiary Hospital

Mungadi

Khalid

2021

Annals of African Medicine

View full text Add to dashboard Cite

show abstract

“…2 In this study, the commonest diagnosis observed was BPH, this is similar to earlier studies in Nigeria and the recent one in Ethiopia, but contrary to the study in Malawi, in which urethral strictures dominates. [4][5][6][7] Prostatectomies (26 cases, 12.3%) for BPH were the commonest elective procedures performed (that is, comprising of both open prostatectomy (7.6%) and TURP (4.7%)), this leading procedure coincides with commonest diagnosis in our study and previous study in Zaria, but contrary to the report in Port Harcourt because their dominant procedures were circumcisions in a study dominated by children (734 cases, 39.1%) under 9 years of age as compared to ours. 2,5 We have recorded very few cases of circumcision in YSUTH, because circumcisions are done for free in other government hospitals in Yobe State, and parents mostly prefer to go for free services than to pay for circumcision at YSUTH.…”

Section: Discussionmentioning

confidence: 99%

Spectrum of urological procedures in Yobe State University Teaching Hospital: an initial experience in a young west African hospital

Tela

Mainasara

2021

Int Surg J

View full text Add to dashboard Cite

Background: In auditing the surgical procedures of a hospital, services rendered to patients are reviewed using the data generated from the procedures, hence the outcome is used as a framework for improvement in future and capacity building. Objectives of the study were to analyze the indications for Urological procedures with the procedures performed at Yobe State University Teaching Hospital (YSUTH) and share our experience, with recommendation for future improvement.Methods: Retrospective hospital-based study on patients who had urological procedures done in YSUTH between March 2018 to April 2020. Urology patients that have not undergone any urological procedure were excluded from the study. Data obtained from the records in the operation theatre, emergency unit and medical record department of the hospital.Results: There were 185 patients with indications for surgery, constituting 41.0% of all general surgery patients. Male to female ratio was 8.7:1 and the median age range was 70-79 years. A sum of 212 urology procedures performed. Benign prostate hyperplasia (BPH) and prostatectomies were the commonest diagnoses and elective procedures respectively, while urethral stricture and bladder cancer were the 2nd and 3rd diagnose respectively. Urethral catheterization for urine retention in BPH was the commonest emergency procedure. Cystoscopy was the commonest day case and the commonest among endo-urology procedures.Conclusions: BPH, followed by urethral strictures and bladder cancers were the commonest diagnoses and indications for surgery. Urine retention in BPH is the commonest emergency requiring urthral catherization. Creation of dedicated day surgery unit and employment of permanentt consultant urologists and more health personnels relevant to urology, will improve the quality and quantity of services rendered.

show abstract

Evaluating Ultrasound-Guided Percutaneous Nephrostomy in Low-Resource Settings: Insights from Northern Nigeria

Rabiu,

Umar,

Lawal

et al. 2024

Preprint

View full text Add to dashboard Cite

Objectives: Percutaneous Nephrostomy (PCN) is a procedure that decompresses or provides access to the renal collecting system. There is a dearth of data about the complications and outcomes of PCN in low and middle-income countries. Objectives: This audit will provide insight into the complications and outcomes of PCN in Nigeria. Methods: This prospective study was on fifty-five patients who had PCN under ultrasound guidance. We obtained pre-PCN and serial serum creatinine on day one, one week, and one month post-PCN. The patients were monitored for two weeks. We also documented whether or not, the patient has continued to be on dialysis or died. The categorical data was expressed as proportions and percentages. The student’s t-test to compare means between groups for continuous variables. A p-value of <0.05 was considered statistically significant. Results: Up to 32 (58.2%) were males. About 80% of patients had bilateral PCN. Some patients (27.2%) developed minor complications such as pain, wire impaction, bleeding, or vomiting. During the late post-procedure and follow-up periods, 72.7% had no complication, 12.7% had dislodged tube(s), 10.9% had unilateral tube blockage, and 1.8% had bilateral tube blockage. The study also showed a significant reduction of serum creatinine in 80% of the subjects. 12.7% of the patients died with 5.5% of patients lost to follow-up, and 1.8% had fluctuating creatinine levels. Conclusion: Ultrasound-guided PCN is a safe procedure to relieve obstructive uropathy in our setting. PCN significantly improves patient outcomes when performed judiciously and in inappropriate clinical contexts.

show abstract

Analysis of admissions in a West African urology centre: A crux in urologic capacity building

Cited by 8 publications

References 0 publications

Spectrum of Urological Cases in a West African Tertiary Hospital

Spectrum of Urological Cases in a West African Tertiary Hospital

Spectrum of urological procedures in Yobe State University Teaching Hospital: an initial experience in a young west African hospital

Evaluating Ultrasound-Guided Percutaneous Nephrostomy in Low-Resource Settings: Insights from Northern Nigeria

Contact Info

Product

Resources

About