alexa Lower urinary tract pathology evaluation in Nigeria: practice and limitations at a private urology centre.
Microbiology

Microbiology

Clinical Microbiology: Open Access

Author(s): Akporiaye LE, AisuodionoeShadrach OI, Akporiaye LE, AisuodionoeShadrach OI, Akporiaye LE, AisuodionoeShadrach OI

Abstract Share this page

Abstract OBJECTIVE: To review the pattern of lower urinary tract (LUT) pathology, showcase the evaluation and management of these conditions and identify if any, limitations to the evaluation and management of these conditions at a private urology centre in Nigeria. METHOD: We reviewed the medical records of all patients presenting with LUT pathology between February 2007 and March 2011. Data such as age, sex, patterns of presentation, findings from evaluation, and surgical pathology were extracted. RESULTS: In all, 412 patients were seen and evaluated. There were 398 males (age range = 40-86 years) with a mean age of 65 +/-12 yrs and 14 females (age range = 27-71 years) with a mean age of 45 +/-19 yrs. The commonest symptom seen in the female patients was urge urinary incontinence in (13, 92.8\%) while the remaining female had stress urinary incontinence. All fourteen female patients were evaluated with cystoscopy and urodynamic studies. Pressure-flow studies revealed overactive bladder syndrome in only 4 patients (28.5\%) with urge incontinence with no cause of incontinence found in the rest. The most common symptoms in the male patients included LUTS (352, 85.4\%), hematuria, (21, 5\%) and urinary incontinence (6, 1.4\%). Evaluation consisted of uroflometry, post-void residual (PVR) urine measurement and International Prostate Symptom Score (IPSS) assessment respectively in 374 patients (90\%), whereas 303 patients (73\%) underwent PSA testing. Seventy five patients with LUTS who had PVR > 150 mls under went transrectal ultrasonography (TRUS) of the prostate, of whom 61(81\%) underwent further TRUS-guided prostate biopsies. CONCLUSION: Evaluation of LUT conditions using modern medical technology is feasible in a developing country such as Nigeria. While there are no unique technological limitations, the costs of treatment in a private urology centre may present specific challenges to such comprehensive evaluation of patients. Additionally, we show in this study that lower urinary tract conditions are predominantly prostate-related and as in other parts of the world, screening with PSA increases the detection of organ confined prostate cancer.
This article was published in West Afr J Med and referenced in Clinical Microbiology: Open Access

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

agrifoodaquavet@omicsonline.com

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

clinical_biochem@omicsonline.com

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

business@omicsonline.com

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

chemicaleng_chemistry@omicsonline.com

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

environmentalsci@omicsonline.com

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

engineering@omicsonline.com

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

generalsci_healthcare@omicsonline.com

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

genetics_molbio@omicsonline.com

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

immuno_microbio@omicsonline.com

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

omics@omicsonline.com

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

materialsci@omicsonline.com

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

mathematics_physics@omicsonline.com

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

medical@omicsonline.com

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

neuro_psychology@omicsonline.com

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

pharma@omicsonline.com

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

social_politicalsci@omicsonline.com

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords