PD IN DEvELOPING HEALTH CARE SYSTEmS♦ Introduction: After a training period, patients maintained on continuous ambulatory peritoneal dialysis (CAPD) assume responsibility for their own treatment. With the aid of appropriate tools, home visits help with ongoing evaluation and training for these patients. ♦ Methods: We conducted a home visit survey of 50 patients maintained on CAPD in Sudan between April 2009 and June 2010. Housing conditions, home environment, and patient's or caregiver's knowledge about peritoneal dialysis and the exchange procedure were evaluated using structured data collection sheets. Scores were compared with infection rates in the patients before the home visit. ♦ Results: Patients were maintained on CAPD for a median duration of 11 months. Their mean age was 42 ± 23 years; 70% were male; and 14% had diabetes. Only 34% of patients had suitable housing conditions, and 56% required assisted PD. Of the autonomous patients and assisting family members, 11.6% were illiterate. The median achieved knowledge score was 11.

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Background/purpose This study was conducted to present our experience in urethral mucosal graft urethroplasty to repair urethral stricture, as the first experience in our context. Methods This is a prospective hospital-based study that had been designed to review management outcomes of buccal mucosal graft urethroplasty for anterior urethral stricture from January 2017 to January 2019. Results The total number of involved patients was 60. The success rate was found to be 90% (n = 54), while 6 (10%) had a recurrence of stricture. Pain and pain combined bleeding from internal suture lines were the only early complication encountered in 50 (83.3%) and 2 (3.3%) patients, respectively. late complications occurred as follows 14 (23.3%) patients had UTI, 12 (20%) had wound infections, 8 (13.3%) had changes in ejaculation, and decrease in intensity of orgasm, and 6 (10%) had erectile dysfunction. One of the long-term complications was graft diverticulum in one case and was treated conservatively (in ventral on lay BMG). Conclusion Improvement of the service in limited resources countries like Sudan and was reflected in the excellent outcome of BMG urethroplasty as treatment of anterior urethral stricture (success rate 90%).

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The incidence of renal cell carcinoma (RCC) in ectopic pelvic kidney is extremely rare. The relationshipbetween RCC and ectopic kidneys is uncertain. A 52-years- old female presented with painless totalhaematuria and examination showed pallor and suprapubic fullness. Complete haemogram showed low hemoglobin(7g/dl), and urine analysis uncountable cells/HPF . CT urography showed heterogeneousenhancing massin ectopic pelvic kidney.Through midline incision,abdomen was approached.Intraoperativefindings was a mobile right renal pelvic tumour.Radical nephrectomy was carried out. Pathology reportrevealed renal cell carcinoma. Haematuria disappeared postoperatively. Follow -up showed no recurrenceor metastasis during the first year. This case reported a successful surgical management of an ectopic pelvickidney with renal cell carcinoma.