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Genito-urinary reconstruction in southern Nigeria
L E Akporiaye1, T C Oguike, I Evbuomwan
1Baptist Medical Centre, Eku, Delta State, Nigeria. lesakporiaye@hotmail.com
West African Journal of Medicine
|September 19, 2009
Summary
Genito-urinary reconstruction in Nigeria primarily addresses urethral strictures and congenital abnormalities. Specialist management yields good outcomes, highlighting the need for focused urologic training in lower urinary tract reconstruction.
Area of Science:
- Urology
- Surgical Reconstruction
- Public Health
Background:
- Urologic conditions represent 25% of surgical cases in Nigeria, with genito-urinary abnormalities common in adults and children.
- Most urologic surgeries are performed by general surgeons, indicating a need for specialized knowledge and training.
Purpose of the Study:
- To characterize the patterns of genito-urinary diseases in southern Nigeria.
- To evaluate the surgical outcomes of genito-urinary reconstructive procedures.
Main Methods:
- Retrospective review of 227 patients undergoing genito-urinary reconstruction between 1991 and 1998.
- Data collected included patient demographics, pathology, surgical techniques, and outcomes.
- Exclusion of patients with less than 12 months follow-up.
Main Results:
- Urethral abnormalities, primarily strictures (43%), were the most common indication for reconstruction (69%).
- Congenital lesions (35%) included hypospadias (27%) and pelvi-ureteric junction obstruction (6%).
- Overall complication rate for urethral stricture repair was 4.08%; three pregnancies resulted from microsurgical epididymo-vasostomy.
Conclusions:
- Lower urinary tract reconstruction is a significant component of urologic surgery in southern Nigeria.
- Management by urologic specialists leads to favorable outcomes.
- Training programs should emphasize lower urinary tract reconstruction for urologists in the region.
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