SUMMARYObjective: To determine the prevalence, social demographic characteristics and types of pelvic organ prolapse that patients present with at the Tamale Teaching Hospital (TTH). Methods: A descriptive study of pelvic organ prolapses at the Tamale Teaching Hospital from 1 st January 2010 to 31 st December 2011. Results: The 118 pelvic organ prolapse cases constituted (2.68%) of the 4403 gynaecological out-patient cases seen during the two year study period. The mean age and standard deviation was (45.9± 15.1) and the modal age group was 30-39 years with 32 (27.1%) of cases. There were 112 (94.9%) cases of uterine prolapse, 95 (80.5%) had cystocele, 16 (13.5%) patients had rectoceles and 3 (2.5%) had enterocele. Their main occupations were trading 66 (55.9%) and farming 44 (37.3%), seventy (62.5%) of the patients with uterine prolapse were premenopausal while (10) 14.3% of the premenopausal cases had an ongoing pregnancy. The parity ranged from zero to 13 with mean and standard deviation of (4.4±1.7). Fifty five (46.6%) were from the Tamale metropolis and only 12 (10.5%) had all their deliveries in hospital. The commonest complication was decubitus ulcer present in 20 (16.9%) patients, 16(80%) of it in patients with procedentia. Conclusion: Pelvic organ prolapse is not a rare gynaecological condition at the Tamale Teaching Hospital. The patients are relatively young and are from various districts in the northern region. Some occupational, socio-cultural practices and reproductive characteristics may be contributory to severity of pelvic organ prolapse.

Objective: To ascertain the types of adolescent female genital tract congenital anomalies and their management in the Tamale Teaching Hospital in Northern Ghana.Methods: A cross-sectional study of adolescent female genital tract congenital anomalies that were managed at the Tamale Teaching Hospital from 1st January 2010 to 31st December 2012. Results: There were 19 cases of adolescent female genital tract congenital anomalies during the study period. The commonest female genital tract congenital anomaly was imperforate hymen 7(36.84%). Other congenital anomalies included transverse vaginalseptum 4(21.05%), vaginal atresia 2(10.53%), vaginal agenesis 4(21.05%), didelphus uterus 1(5.26)% andbicornuate uterus 1(5.26%). The management of the adolescent female genital tract congenital anomalies included surgical procedures in 14 (73.68%), dilation of vaginal pouch, counseling and psychological support in 6 (31.57%).Conclusion: While in resource limited settings, initial workup and management of adolescent female genital tract congenital anomalies may be done without sophisticated equipment, management of more complex cases are usually more challenging requiringreferral to more appropriately staffed and equipped centres.

Background: Documentation of baseline data in any newly established academic or health institution is a pre-requisite for future research. The histopathological review aimed to describe the patterns and the relative proportions of the various cancers diagnosed in the Department of Pathology, Tamale Teaching Hospital (TTH) to be used as a baseline data for future research.

Background: Dysmenorrhoea is a common problem among the adolescent but it is unclear the extent to which adolescent girls in Ghana are incapacitated each month due to the severity of dysmenorrhoea.Objective: The objective of this study was to determine the prevalence and severity of dysmenorrhoea in adolescent girls and its effect on class attendance.Setting: St Mary’s Senior Secondary School, AccraMethodology: Cross-sectional descriptive study using selfadministered questionnaireResults: The prevalence of dysmenorrhoea in 453 adolescent girls in this study was 74.4% (CI 95%, 72.5%-76.3%). Primary dysmenorrhoea is usually the type of dysmenorrhoea suffered by adolescent girls, a characteristic age group 14-19 years of respondents in the study. The percentage distribution for the various degrees of severity of dysmenorrhoea in 453 adolescent girls was 18.1%, 37.5%, and 18.8% for mild, moderate and severe dysmenorrhoea respectively. About 9.5% of respondents with dysmenorrhoea had absented themselves from class at some time. Among those who had severe dysmenorrhoea, 35.3% had absented themselves from class at some time (p<0.0001).Conclusions: This study shows that dysmenorrhoea is common among girls of this Senior Secondary School in Accra, Ghana. The correct approach to management of adolescent girls with dysmenorrhoea can reduce the adverse impact of severe dysmenorrhoea on academic activities in the form of class absenteeism.

Maternal and Neonatal Tetanus (MNT) has become a rare disease in Ghana following the intensive immunization campaigns over the last few decades. The country was certified as MNT-free by the World Health Organization (WHO) in 2013.We report on 2 cases ofNeonatal Tetanus (NT) seen in the Northern Region of Ghana. Although the mothers of both patients attended antenatal clinics, they were not vaccinated against tetanus. Both patients were successfully managed and discharged from the hospital. These cases call forpractitioners to be mindful of sporadic cases of NT that may present to our facilities.