Glanuloplasty with Oral Mucosa Graft following Total Glans Penis Amputation

This is a report on the technique of neoglans reconstruction in a patient with amputated glans penis following guillotine neonatal circumcision. A 4 cm long and 2 cm wide lower lip oral mucosa graft was harvested and used to graft the distal 2 cm of the corporal bodies after 2 cm of the distal penile skin had been excised. One edge of the lower lip oral mucosa graft was anastomosed to the urethral margins distally and proximally to the skin. At six months of followup, patient had both satisfactory cosmetic and functional outcomes

Epidemiology of Upper Tract Urolithiasis and ESWL Treatment in Kumasi, Ghana

Background: The incidence of upper tract urolithiasis is rising worldwide and treatment options have improved to include extracorporeal shock-wave lithotripsy (ESWL), percutaneous nephrolitothomy (PCNL) and ureterorenoscopy (URS) but sub- Saharan Africa has lagged behind the rest of the world.  Open stone surgery was the main surgical treatment for upper tract stones in Kumasi until the introduction of ESWL five years ago.  This study was conducted to evaluate ESWL in the management of upper tract urolithiasis in Kumasi, Ghana.&#x0D; Materials and methods: We prospectively analyzed all patients treated for upper tract urolithiasis at the Bomso Specialist Hospital in Kumasi from January 1, 2014, to December 31, 2017. Patients with upper tract stone of 2cm or less underwent ESWL. Data was obtained on patient demographics, stone characteristics, outcome of ESWL and analyzed with PASW Statistics for Windows, Version 18.0. Chicago: SPSS Inc.&#x0D; Results: There were 170 patients with upper tract urinary stones over the study period with a male: female ratio of 2:1. The mean age was 46.5 years. Inadequate fluid intake (&lt;3L/day) was the most common predisposing factor, seen in 45.3% of the patients and the commonest symptom was flank pain, seen in 134 (78.8%) patients. There were 149 (87.6%) patients with solitary stones, mostly in the kidney 115 (67.6%). A total of 142 (83.5%) patients underwent ESWL with successful stone clearance in 120 patients. The most common complication of ESWL was flank pain 36 (25.4%).&#x0D; Conclusions:ESWL is effective for treatment of upper tract urolithiasis and should be available to selected patients in sub- Saharan Africa.</jats:p

Profile and Management of children with urine retention at a Tertiary Hospital in a developing country

PurposeTo describe our experience in the management of children with urine retention at the Konfo Anokye Teaching Hospital in KumasiMethodsFrom 1st April to 30th November, 2012, data on children presenting with urine retention at the Komfo Anokye Teaching Hospital, Kumasi was obtained. The data collected was entered, cleaned, validated and analyzed using SPSS 16.0 for Windows.ResultsThirteen male children presented with urine retention during the study period. Their mean age was 5.9±5.1 (range1-14) years. The causes of urine retention were; posterior urethral valves 9(69.2%), neurological disorder 2(15.4%) and one each of phimosis and bladder calculus.ConclusionPosterior urethral valve was the main cause of urine retention among children who presented to urologist in Kumasi. Immediate relief of urine retention was varied requiring the use of urethral catheterization, suprapubic cystostomy, or vesicostomy. Definitive management was varied and tailored to the underlying cause. </jats:p

Dorsal Onlay Oral Mucosa Graft Urethroplasty: A Case Report and Review of Literature

The use of buccal mucosa grafts in urethral reconstruction for complex anterior urethral strictures has gained popularity over the years with very good outcomes reported in literature. We report on the successful repair of a complex anterior urethral stricture in a 14-year-old boy following catheterization using this method at the Komfo Anokye Teaching Hospital. The aim is to describe the method of dorsal onlay oral mucosa graft urethroplasty and to review the literature.</jats:p

Dorsal Onlay Oral Mucosa Graft Urethroplasty: A Case Report and Review of Literature

The use of buccal mucosa grafts in urethral reconstruction for complex anterior urethral strictures has gained popularity over the years with very good outcomes reported in literature. We report on the successful repair of a complex anterior urethral stricture in a 14-year-old boy following catheterization using this method at the Komfo Anokye Teaching Hospital. The aim is to describe the method of dorsal onlay oral mucosa graft urethroplasty and to review the literature

Glanuloplasty with Oral Mucosa Graft following Total Glans Penis Amputation

This is a report on the technique of neoglans reconstruction in a patient with amputated glans penis following guillotine neonatal circumcision. A 4 cm long and 2 cm wide lower lip oral mucosa graft was harvested and used to graft the distal 2 cm of the corporal bodies after 2 cm of the distal penile skin had been excised. One edge of the lower lip oral mucosa graft was anastomosed to the urethral margins distally and proximally to the skin. At six months of followup, patient had both satisfactory cosmetic and functional outcomes

Intravesical migration of an intrauterine device

BACKGROUND: Intrauterine contraceptive device is the most common method of reversible contraception in women. The intrauterine contraceptive device can perforate the uterus and can also migrate into pelvic or abdominal organs. Perforation of the urinary bladder by an intrauterine contraceptive device is not common. In West Africa, intravesical migration of an intrauterine contraceptive device has been rarely reported. In this report, we present a case of an intrauterine contraceptive device migration into the urinary bladder of a 33 year old African woman at the Komfo Anokye Teaching Hospital, Kumasi, Ghana. CASE REPORT: A 33 year old African woman presented with persistent urinary tract infection of 7 months duration despite appropriate antibiotic treatments. An abdominal ultrasonography revealed a urinary bladder calculus which was found to be an intrauterine contraceptive device on removal at cystoscopy. She got pregnant whilst having the intrauterine contraceptive device in place and delivered at term. CONCLUSION: The presence of recurrent or persistent urinary tract infection in any woman with an intrauterine contraceptive device should raise the suspicion of intravesical migration of the intrauterine contraceptive device