No abstract

No abstract

No abstract

No abstract

No abstract

Background:Island flap techniques currently used in urethroplasty utilize the prepuce and the dorsal penile skin. Our experience with a one-stage island flap urethroplasty for urethral strictures utilizing the ventral penile skin is described. Patients and Method: This is a longitudinal study of seventy six consecutive patients with impassable and complicated urethral strictures treated using this technique over a seven-year period. Sixty were bulbous while sixteen were bulbomembranous urethral strictures. Following operation the patients were assessed using urine flow rates, urethrograms and some urethroscopy. Restrictures were successfully reoperated. Results: Sixty-eight patients (89.5%) had satisfactory voiding with good urine stream without complication at one year after operation. Five patients (6.6%) had restricture and three (3.9%) others had urethral bagginess and postmicturition dribbling. The overall complication rate was 10.5%. At three years after initial operation and reoperation seventy-five patients (98.7%) were voiding satisfactorily. There was one complete failure, no death. Conclusion:This technique has produced satisfactory results compared with other similar techniques in current use. Further work is required to make valid conclusions about the value of this procedure.

(UDUTH) over a ten-year period. The setting provided an opportunity to critically examine the process and outcome of nephrectomies done by general surgeons. Method : A retrospectively study of nephrectomies performed by general surgeons in UDUTH in the 10 year period(January 1993 to December 2002). Results: A total of 25 nephrectomies were performed by the general surgeons during the study period. The male to female ratio was 4:1. The indications were renal malignancy in 39.0% of cases others were non-functioning symptomatic hydronephrotic kidneys. Renal function was not assessed in two patients with renal trauma before surgery. In some patients with polycystic renal disease and pelvic-ureteric junction obstruction indication for nephrectomy was not properly described. The disease staging and extent of surgery in patients with kidney cancer were not often stated. In 20% of patients there was significant morbidity and a threat to life and the overall mortality was 13.0%. Conclusion: In the dearth of the urological surgeons in our environment the had to supplement in the occasional care of some urological patients. The best result is outcome is from patients having nephrectomy for non functioning hydronephrotic kidneys. The outcome in the treatment of the congenital renal anomalies, malignant and trauma to the kidney was not satisfactory suggesting the trained urologist will b better equipped to sort things out.

No abstract