Urological Surgeries in a West African Teaching Hospital.

Autor:	Okeke CJ; Department of Urology, Epsom and St. Helier University Hospitals NHS Trust, London, UK., Ojewola RW; Department of Surgery, Lagos University Teaching Hospital, Lagos, Nigeria.; College of Medicine, University of Lagos, Lagos, Nigeria., Odo C; Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria., Oyibo UE; Department of Surgery, Usman Danfodiyo University Teaching Hospital, Sokoto, Sokoto State, Nigeria., Obi AO; Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.; College of Medicine, Ebonyi StateUniversity, Abakaliki, Ebonyi State, Nigeria., Nnadozie UU; Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
Jazyk:	angličtina
Zdroj:	Journal of the West African College of Surgeons [J West Afr Coll Surg] 2023 Oct-Dec; Vol. 13 (4), pp. 83-86. Date of Electronic Publication: 2023 Sep 16.
DOI:	10.4103/jwas.jwas_61_23
Abstrakt:	Introduction: Urological surgeries are a significant part of surgical services. The need for these services varies regionally and globally. Knowledge of the local need is important for prioritisation of resources. Objectives: To describe the urological procedures done in our hospital for effective utilisation of the already scarce resource in this region. Patients and Methods: This was a retrospective one-year study of the urosurgical cases done in a Nigerian Teaching Hospital. The main theatre register was used to collate data. Data collected included age, sex, operation done and anaesthesia employed. Results: One hundred and twenty-two male and three female patients were included with a male-to-female ratio of 41:1. The mean age of the patients was 56.6 ± 19.89 years. Elective cases accounted for 102 (81.6%) of surgeries. Regional anaesthesia was the most common form of anaesthesia accounting for 105 (84%) followed by local anaesthesia in 16 (12.8%). Day cases accounted for 77 (61.6%) of procedures. More than 80% of the study population was 50 years and older. Overall, the three most common performed surgeries were digital-guided prostate biopsy 47 (37.6%), suprapubic cystostomy 16 (12.8%) and open prostatectomy 9 (7.2%). In male patients, the three most common procedures were prostate biopsy 47 (38.5%), suprapubic cystostomy 16 (13.1 %), open prostatectomy 9 (7.4%) whereas nephrectomy, pyeloplasty and stent removal each accounted for 33.3% each of procedures in female patients. Endourological procedures accounted for 5 (4%) of cases. Conclusion: Open surgeries accounted for the majority of these cases done with prostate-related procedures being the most common procedures. Few endourological procedures were performed. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Journal of the west African college of surgeons.)
Databáze:	MEDLINE
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